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Form

Policies & Forms

New Client Forms

1.  Please print and then fill out the New Client Information Form. 

2.  Fill out the Autonomic Nervous System Questionnaire on your computer.  Your answers will generate a graph. Print ONLY the Graph. 
 
3.  Bring the completed Information Form and the Nervous System Graph with you for your first session.  
 
If you are unable to print out the forms, please contact us in advance so will be able to expect your early arrival and accommodate you. Plan to arrive at least 20 minutes prior to your scheduled appointment time in order to fill out the New Client Information Form.  If you do not arrive early, the time taken to fill out your form is included within your scheduled appointment time, and will therefore result in a shortened appointment. 

New Client Information Form

Print and Fill Out

Autonomic Nervous System Questionnaire and Graph

Fill Out on Computer and Print Only Graph

This form walks you through the information you will need from your insurance company for possible re-imbursement if you choose to call them.  We do not bill insurance, and we are considered out-of-network providers.  Most insurance companies require that your in-network deductible and out-of-network deductible are met before they will consider any re-imbursement.  
 
Do not bring this form with you to your appointment.  It is for your information only.

Policies

New Client Information

  • Please save time by downloading, printing, and filling out the New Client Form and bring it in with you on your first visit.  If you are unable to print out the form, please call to let us know in advance (so we know to expect you) and plan to arrive at least 20 minutes prior to your scheduled appointment time in order to fill it out in our office.  If you do not arrive early, the time taken to fill out your form is included within your scheduled appointment time, and will therefore result in a shortened appointment.  Completion of the New Client Form is required for all clients, and we will not perform services without a full health intake. 

  • We endeavor to provide a caring and relaxing environment for your massage experience. We ask that clients' voices be kept at a quiet level.  Please silence your phone upon arrival by turning it off or on do not disturb mode. If you need to be available take a call during your session, please let your therapist know, and put your phone on vibrate. 

  • Out of respect for your therapist and others who may be following you, please refrain from wearing perfume or smoking before your appointment.  We ask that you be clean and free from strong odors such as perfume, smoke, or body odor.  Clients with strong scents may be refused service and will be responsible for payment in full for the appointment.

Payment

  • Payment for services is required at time of scheduling, and is non-refundable.  Payment is assigned to an individual client's account, and is not transferable to another client.  

  • We accept all major credit cards, cash, and in-state checks with a valid driver's license matching the address on the check.  We also accept Health Savings Account (HSA) and Flexible Spending Account (FSA) cards.  

  • Each bank returned check will be charged $30.00.  Additional court, attorney, or collection agency fees may be charged if applicable.

Scheduling

  • Please call 770-834-4599 to schedule.

  • All clients are required to pay in full at time of scheduling for appointments, and it is non-refundable.

Appointments, Cancellation, & Rescheduling 

  • Appointments are an agreement to reserve a portion of available office time.  Please arrive a few minutes early.  We cannot guarantee full service time for late arrivals, and you will be responsible for the full amount of your session. Upon arrival, if you request a shortened service, you are responsible for the full amount of the scheduled service. Your session time includes consultation, assessment, treatment, dressing time, and check in/check out.

  • All appointments require payment in full at time of scheduling and are non refundable.  If multiple sessions (not part of a program) are scheduled, we only require that clients pay up front for one appointment at time.  When you come for an appointment, your next one is paid for on that day.

  • There are no refunds given for canceled or missed appointments.

  • Programs: The full amount of the program must be paid in full at time of scheduling.  Clients who have pre-paid for programs will have the full amount of the missed appointment deducted. 

  • Appointments may be rescheduled once with a minimum of 48 hours’ notice or by noon on Thursday for Monday appointments. If a client needs to reschedule more than once, a fee of 50% the value of the appointment will be charged for the rescheduling. Rescheduling must be within six weeks of the original appointment, otherwise it is considered a cancellation, and the full fee for the new appointment must be prepaid. Rescheduling for 1/2 day (3-4 hours service) require a minimum of 5 business days’ notice, and full day services (any time over 4 hours) require 10 business days’ notice for rescheduling.

Appointment Confirmations

  • Texts:  Confirmations are automated texts sent by the computer which accepts only "yes" or "no" for a response.  Please do not respond with any other message or an abbreviated "y" or "n".  Any response other than "yes" or "no" is not accepted by the system.  Your appointment will change color on the computer screen to indicate confirmation or cancellation; responses are not read by a human.  Any additional information cannot be received via text.

  • Emails:  All emails are generated by the computer system in an unmonitored mailbox.  Replies cannot be received.

  • You are responsible for keeping your appointment.  Please set your own reminders.  If the system should go down (power outage or loss of internet, etc.) reminders will not go out. 

  • If you need to communicate, please call the office at 770-834-4599.  Do not text or email.

Children

  • Children receiving treatment: Children under the age of 18 are required to have a parent or guardian sign the health intake form and be present for the first appointment.  We prefer that the parent or guardian be present in the treatment room during all sessions for education on the child's therapy.

  • Clients who wish to bring children along for their session:  Children must be well behaved and be able to quietly self entertain during your session.  Please no food or drinks, as spills and messes often occur.  We have bottled water available.  For younger children, please make arrangements for child care. 

Health Insurance

  • Some health insurances cover for medical massage therapy.  Advanced Massage Therapies, Inc. does not bill insurance directly.  If your insurance provider covers for therapy, payment in full is expected at the time of scheduling, and it is your responsibility to file with your insurance for reimbursement. 

  • For additional information, refer to the Insurance Form.

Gift Certificates

  • Gift certificates sales are final, and no refunds are given.  They are not redeemable for cash.  

  • Expiration dates are final, so please schedule your appointment well in advance of the expiration date.  

  • If the gift certificate holder would like to exchange for another service, the gift certificate will be exchanged for the dollar amount paid and put toward another service.  

  • The gift certificate number is required at time of scheduling to secure the appointment.

  • Gift certificates must be presented at time of service.  

  • Missed appointments or cancellations less than 48 hours in advance (or before the close of business on Thursday for Monday appointments) will have the full amount of the service deducted from the gift certificate.

Corporate Accounts 

  • Missed appointments or cancellations less than 48 hours in advance (or before noon on Thursday for Monday appointments) will be billed for the full fee. Balance is due 30 days from the invoice date.  A $50.00 re-billing fee plus 10% interest will be charged each month until balance due is paid.  

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