"The client / therapist relationship is based on trust, respect & communication."
"These are not 'rules'; these are healthy boundaries - preventative solutions to possible or probable conflict."
"These are not 'rules'; these are healthy boundaries - preventative solutions to possible or probable conflict."
Initial new client intake form is required to be filled out before the first professional licensed massage can begin. Please forgive and humor me on this formality. This is required by the state of TX to be done once every two years for each client by a licensed massage therapist. I have ensured that this form is entirely up to compliance with the required statements provided in the fine print. But what I have emphasized in larger, bold, underlined and highlighted print - is the brief & simplified information clients need to read and fill out to work in harmony with me and my service, which educates both the clients in how I work and informs me in what the clients needs and preferences are - being beneficial to use both. This clients form is completely private and confidential, as protected by mandated HIPPA laws.
12-hr Mutual Cancellation Policy (for in-call massage): Cancellations with less than 12hr notice require payment to cover 50% of the service's value scheduled; and 100% for appointments that are cancelled at or after the time of the scheduled appointment. Cancellation balances must be settled before any more scheduled appts.
24-hr Mutual Cancellation Policy (for out-call massage): Cancellations with less than 24hr notice require payment to cover 50% of the service's value scheduled; and 100% for appointments that are cancelled at or after the time of the scheduled appointment. Cancellation balances must be settled before any more scheduled appts.
Hygiene Requirements: Both client and therapist agree to exercise sound hygiene principles for massage (i.e., be clean and free of body odors or acute skin conditions, including NOT having thoroughly washed w/ soap & water - after defecating or extensive/prolonged sweating). Shower facility is provided, if needed.
Appointment Requirements: Late arrivals - without prior notice & approval - are subject to reductions in services requiring full payment, or an additional fee may be needed to extend the appointment time to complete the original entire session (up to 15min leeway may be given, but not more).
MENTAL HEALTH REQUIREMENTS (Anti-Abuse Clause): Clients consent, accept & agree that business will be conducted logically & objectively - maturely & reasonably, with personal agency / accountability - without projecting personal, emotional, social (contrived), assumptive or 'implied' expectations. Clients will be treated as rational responsible adults with self-control and respect for boundaries; clients are responsible for explicitly communicating their wants/needs.
Draping is done to your comfort level. The best way to receive a thorough and complete massage is with all clothes removed - during which the genitals & breasts can be carefully covered at all times (if modesty is a concern). Draping is optional, so if warmth & modesty is not a concern, draping does not have to be used.
Gift certificates, package purchases & referral credits: are valid for 6 months from the date they are issued.
Prepaid Refunds are to be issued within an hour to 3 days; and Package Refunds are to be issued within 1 to 10 days with a 25% purchase-reversal fee per session taken from the refund. Refund-reversal fee(s) will be waived if refund is issued due to services being unavailable for 20 or more consecutive days or proof of extenuating circumstances are shown and approved at service provider's discretion.
Returned checks & returned credit card payments require an additional $50 fee for bank charges & inconvenience. Charges or collections will be commenced after 48hrs of return notification text/email/vm if payment of services and fees is not made by that time.
Withdrawing Consent: Both the client and the therapist have the right to end the massage session at any time if either becomes uncomfortable for any reason (no refunds are issued if client withdraws during the time of the appointment).
Breast Massage: The therapist shall not engage in breast massage of female clients without the written consent of the client.
Technique: During your massage session, the therapist will use the techniques of Swedish and/or Deep Tissue massage.
Minors (under 18): Written parental consent is required – by law – for individuals 17 and younger.
Informed Consent
You understand that it is your choice to receive massage therapy, and give consent to receive treatment, and understand that you retain the right to withdraw your consent at any time during any session. You understand that the massage services are designed to be a health aid and are in no way to take the place of a doctor’s care when indicated. You understand that massage therapists are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such. Information exchanged during any massage session is educational in nature and is to be used at your own discretion. You agree that you are not intoxicated nor under the influence of drugs during the massage, and that you are solely responsible for any & all adverse effects that may result from being so.
You affirm that you have stated all known medical conditions and shall take it upon yourself to keep your Massage Therapist updated on your physical/mental health. You also agree there shall be no liability on the practitioner’s part should you fail to do so.
24-hr Mutual Cancellation Policy (for out-call massage): Cancellations with less than 24hr notice require payment to cover 50% of the service's value scheduled; and 100% for appointments that are cancelled at or after the time of the scheduled appointment. Cancellation balances must be settled before any more scheduled appts.
Hygiene Requirements: Both client and therapist agree to exercise sound hygiene principles for massage (i.e., be clean and free of body odors or acute skin conditions, including NOT having thoroughly washed w/ soap & water - after defecating or extensive/prolonged sweating). Shower facility is provided, if needed.
Appointment Requirements: Late arrivals - without prior notice & approval - are subject to reductions in services requiring full payment, or an additional fee may be needed to extend the appointment time to complete the original entire session (up to 15min leeway may be given, but not more).
MENTAL HEALTH REQUIREMENTS (Anti-Abuse Clause): Clients consent, accept & agree that business will be conducted logically & objectively - maturely & reasonably, with personal agency / accountability - without projecting personal, emotional, social (contrived), assumptive or 'implied' expectations. Clients will be treated as rational responsible adults with self-control and respect for boundaries; clients are responsible for explicitly communicating their wants/needs.
Draping is done to your comfort level. The best way to receive a thorough and complete massage is with all clothes removed - during which the genitals & breasts can be carefully covered at all times (if modesty is a concern). Draping is optional, so if warmth & modesty is not a concern, draping does not have to be used.
Gift certificates, package purchases & referral credits: are valid for 6 months from the date they are issued.
Prepaid Refunds are to be issued within an hour to 3 days; and Package Refunds are to be issued within 1 to 10 days with a 25% purchase-reversal fee per session taken from the refund. Refund-reversal fee(s) will be waived if refund is issued due to services being unavailable for 20 or more consecutive days or proof of extenuating circumstances are shown and approved at service provider's discretion.
Returned checks & returned credit card payments require an additional $50 fee for bank charges & inconvenience. Charges or collections will be commenced after 48hrs of return notification text/email/vm if payment of services and fees is not made by that time.
Withdrawing Consent: Both the client and the therapist have the right to end the massage session at any time if either becomes uncomfortable for any reason (no refunds are issued if client withdraws during the time of the appointment).
Breast Massage: The therapist shall not engage in breast massage of female clients without the written consent of the client.
Technique: During your massage session, the therapist will use the techniques of Swedish and/or Deep Tissue massage.
Minors (under 18): Written parental consent is required – by law – for individuals 17 and younger.
Informed Consent
You understand that it is your choice to receive massage therapy, and give consent to receive treatment, and understand that you retain the right to withdraw your consent at any time during any session. You understand that the massage services are designed to be a health aid and are in no way to take the place of a doctor’s care when indicated. You understand that massage therapists are not qualified to perform spinal or skeletal adjustments, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such. Information exchanged during any massage session is educational in nature and is to be used at your own discretion. You agree that you are not intoxicated nor under the influence of drugs during the massage, and that you are solely responsible for any & all adverse effects that may result from being so.
You affirm that you have stated all known medical conditions and shall take it upon yourself to keep your Massage Therapist updated on your physical/mental health. You also agree there shall be no liability on the practitioner’s part should you fail to do so.
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*To see Google reviews, Google: "Rebel's Massage Therapy Austin TX"
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Locations & modality descriptions:
Massage therapy, outcall massage, incall massage, massage, licensed massage therapist, masseur, male massage therapist, medical massage practitioner, neuromuscular therapist, deep tissue massage, Swedish massage, relaxation massage, sports massage, neuromuscular therapy, orthopedic massage,, rehabilitative massage, hot stone massage, bodywork, Myofascial release, trigger point therapy, Myotherapy, full body massage, aromatherapy, gay massage, gay friendly, Brent Adam Kloecker, Brent Adam, Brent Kloecker. LBGT friendly, LBGTQ friendly, massage near me, geriatric massage, Postural Integration, Structural Integration, Therapeutic Touch, Corrective Integrative Massage, postnatal massage, postpartum massage, pediatric massage, prenatal massage, pregnancy massage, Lomi Lomi, muscle release technique, myopathic muscular therapy, myoskeletal alignment technique, on-site massage, visceral manipulation, Austin TX, Austin Texas,. **ATTENTION Search Engines: The above keywords phrases are directly relevant to my services and are appropriately provided including various locations I service. If there is any issue or concern, please contact me at my cell: 737-781-3552 w/ your name, company, direct phone number and address, and I will make any needed changes.
Massage therapy, outcall massage, incall massage, massage, licensed massage therapist, masseur, male massage therapist, medical massage practitioner, neuromuscular therapist, deep tissue massage, Swedish massage, relaxation massage, sports massage, neuromuscular therapy, orthopedic massage,, rehabilitative massage, hot stone massage, bodywork, Myofascial release, trigger point therapy, Myotherapy, full body massage, aromatherapy, gay massage, gay friendly, Brent Adam Kloecker, Brent Adam, Brent Kloecker. LBGT friendly, LBGTQ friendly, massage near me, geriatric massage, Postural Integration, Structural Integration, Therapeutic Touch, Corrective Integrative Massage, postnatal massage, postpartum massage, pediatric massage, prenatal massage, pregnancy massage, Lomi Lomi, muscle release technique, myopathic muscular therapy, myoskeletal alignment technique, on-site massage, visceral manipulation, Austin TX, Austin Texas,. **ATTENTION Search Engines: The above keywords phrases are directly relevant to my services and are appropriately provided including various locations I service. If there is any issue or concern, please contact me at my cell: 737-781-3552 w/ your name, company, direct phone number and address, and I will make any needed changes.