POLICY & PROCEDURES *REQUIRED TO BE SIGNED BEFORE YOUR FIRST APPOINTMENT*

APPOINTMENT AND INTAKE FORM
All appointments scheduled with RTW, LLC are by appointment only. You may book online, by phone (call or text), or email. If booking by email, please wait for a confirmation email to confirm that your appointment has been scheduled.
All clients are required to complete the online intake form prior to their first appointment. Returning clients are responsible for updating the practitioner with any items that need to be updated/changed. RTW, LLC may re-send or have the client update a new intake form as we see fit.

MEDICAL PROCEDURE POLICY 

*Please read carefully*

If you have received ANY vaccination or any injection (for cortisone injections, consult with your medical professional) in the last 4-6 weeks from your scheduled appointment you will need to reschedule your appointment for the safety of yourself and the practitioner. If you have had a minor or major surgery/medical procedure, please be cleared by your medical professional before you receive a massage.

PAYMENT POLICY
Payment by cash, Venmo (@rawtherapyandwellness), or major credit card is accepted, checks are not accepted unless worked out with the practitioner. Payment is due at the end of service with the option of online payment prior to your appointment. RTW, LLC does not bill to any insurance providers. A card is required to be on file prior to scheduling your appointment and WILL NOT be charged unless the appointment results in a no-show or less than 24-hour cancellation notice.

CANCELLATION POLICY
24-hour notice required for all cancellations or rescheduling. If you do not provide a 24-hour cancellation or your appointment results in a no-show, you will be charged 100% of the amount for the appointment. 

LATENESS POLICY
If you arrive late to your appointment, the time left will be used to the best advantage and not be extended. If the practitioner is late for the appointment, the remaining time will be used (if the client chooses) and the client will receive a discount for the session (if not able to extend the appointment to the full scheduled time frame). 

SICKNESS POLICY
RTW, LLC recognizes that both practitioner and clients are vulnerable to infections and therefore ask clients to cancel appointments when they are feeling unwell. If you have any of the following contagious illness, your session will need to be rescheduled: diarrhea, vomiting, fever, cough, common cold, influenza, rash, etc. 

CLIENT NEEDS AND BOUNDARIES
RTW, LLC are happy to adjust pressure, musical volume, focus on a specified area, or move on per request. 
The client may choose to: disrobe to his/her level of comfort, refuse any massage methods, stop massage at any time, and is free to leave.
The client will always be modestly draped. The practitioner will only undrape the area being worked on.
The client can choose to talk or remain quiet during the session. It is not uncommon to experience an emotional response to or during a massage. If this occurs, the client is free to express the feelings in the safe, nonjudgmental environment.
RTW, LLC DOES NOT accept requests for sensual massage and no sexual advances or acts of any kind will be tolerated. The session will immediately be terminated, and the client will be responsible for full payment.

MINORS RECEIVING BODYWORK

All minors under 18 will need to be accompanied by a parent/guardian. For minors under 16, a parent/guardian will be required to be in the therapy room during the full session. For minors ages 16 & 17, a parent/guardian will need to remain on the premise at all times with a recommendation of being the therapy room during the full session. Cupping and hot stones are not available for minors under 18.  An informed consent waiver signed by the parent/guardian will be required before the first session.

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MASSAGE AND THERAPEUTIC BODYWORK WAIVER

Massage and therapeutic bodywork practices are designed to promote and maintain the health and well-being of the client.

I understand that massage therapy is provided for stress reduction, relaxation, relief from muscular tension, and improvement of circulation and energy flow. 

I understand that, because massage therapy work includes maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission. By signing this form, I acknowledge that I am aware of the risks involved and give consent to receive massage and bodywork from this practitioner. 

If I experience pain or discomfort during the scheduled session, I will immediately inform the practitioner so that the pressure/strokes can be adjusted to my level of comfort. I will not hold the practitioner responsible for any pain or discomfort I experience during or after the session.

I understand the services offered today are not a substitute for medical care. I understand that the practitioner is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat physical or mental illness.

I acknowledge and understand that the practitioner must be fully aware of my existing medical conditions. I have completed my medical history/intake form as provided by the practitioner updated on my medical history. The information I have provided is true and complete to the best of my knowledge. I understand that there shall be no liability on the practitioner's part should I forget to do so.

I understand that massage & therapeutic bodywork is entirely therapeutic and non-sexual in nature.

I understand privacy will be assured as I have the right to undress only to my comfort level and according to the requirements of the treatment. 

I understand draping will be used by the practitioner as required to expose only those parts of my body that require treatment to ensure my comfort during treatment.

I understand that promptness is expected for all appointments. In the event of lateness, the massage may be cut short due to other commitments of the practitioner. Fees will be maintained per the scheduled treatment.

I understand that no shows or cancellations of any appointment must be received at least 24 hours in advance; otherwise, 100% session fee will be required.

I understand fees for treatment are due prior to departure on the day of treatment. 

By signing this release, I hereby waive and release the practitioner from any liability, past, present, and future related to massage therapy and bodywork.

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CUPPING THERAPY WAIVER

Cupping therapy uses suction to gently pull the skin and superficial muscle layers upward, rather than applying pressure. This loosens muscles and fascia, encourages blood flow, relieves pain, and sedates the nervous system.

I understand that Cupping therapy may be performed at the practitioner’s discretion in a gliding manner or with cups applied in a static position. If I prefer not to receive cupping therapy, I agree to inform the therapist before or during the session.

I understand that there are contraindications for Cupping Therapy, such as diabetes or taking blood thinners, and will inform the therapist of all my known medical conditions and medications and will keep the practitioner updated as to any changes in my medical conditions and medications.

I understand that there is the possibility of discolorations that can occur from the release and clearing of lymph, cellular debris, and stagnation being drawn to the surface of the skin to be cleared away by my circulatory systems. This reaction may vary in color and should dissipate in as little as a few hours or as long as two weeks.

I understand that tenderness, itching, and decreased blood pressure are possible temporary reactions to cupping therapy.

I understand that Cupping therapy modalities should not be combined with aggressive exfoliation, done within 4 hours of shaving, after sunburn, or over unhealed tattoos.

I understand that I should avoid exposure to cold or hot showers and baths, saunas, hot tubs and aggressive exercise for 4-6 hours following cupping therapy.

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HOT STONE/COLD STONE WAIVER

Hot/cold stone massage is not suitable for everyone. There are risks associated with performing hot/cold stone massage on individuals with the following conditions: pregnancy, diabetes, inflammatory skin conditions, open wounds or sores, hypotension or hypertension, cancer (with or without treatment), varicose veins, under the influence of drugs or alcohol, blood clot(s), neuropathy, autoimmune conditions, peripheral vascular disease, heat sensitivity, compromised immune system, edema or lymphedema, and cardiovascular disease. 

I have read and understand the aforementioned conditions which make hot/cold stone massage contraindicated. The practitioner has discussed this information with me and provided opportunity for any questions.

I have disclosed any and all health risk factors.

I understand that I will be receiving hot stone and/or hot/cold stone massage as an adjunct form of healthcare only and that this therapy is not meant to replace appropriate medical care.

I release the practitioner of any and all liability for any harm that may unintentionally occur during my treatment(s) and inform the practitioner if any of the stones are uncomfortable during my session.

I understand I have the right to end hot/cold stone massage at any time during my session. 

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MIND BODY SPIRIT RELEASE + HOLISTIC APPROACH WAIVER

I understand that I am here to learn about holistic health and spiritual practices. The services are at all times restricted to consultation on the subject of holistic health matters intended for the maintenance of the best possible state of energetic and spiritual well-being, are never intended to be a replacement for professional counseling/therapy or medical care and do not involve the prevention, diagnosing, treating, or prescribing of remedies for disease. 

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Updated January 2024