TO OUR VALUED CLIENTS
For most Americans, the world of alternative or complimentary healthcare options is a new, unfamiliar, interesting, hope-inspiring, and confusing marketplace of choices. What we hope to do here is to provide you with some general information that will help you make informed decisions about your healthcare options and some specific information about our services.
IN GENERAL
We encourage you to be an informed, educated consumer who takes the ultimate responsibility for choosing your healthcare options. We are happy to provide you with any information we possess to help you reach this goal. We believe all legitimate healthcare options have something to offer; different is not necessarily better or worse, but sometimes merely different. The key is to choose the best option for you; that best option is the one that gives you the results you want while conforming to the practical needs, requirements, and limitations of your particular situation. We encourage you to ask questions and state your opinion about the healthcare services you receive anywhere.
OUR SERVICES
What We Are Not
We are an on-going therapy program. We are not an emergency service. We describe our program as a 50/50 therapy; that means we provide our half of the program which is our best, 100% effort to help you with your problem. It also means that the other 50% has to come from you. As with everything in life, the more you put into it, the more you get from it. This means that half of the burden for your progress is your responsibility. Some people do not want this responsibility; some people do not want to participate in their own healthcare. We recognize this and that is one reason we say that this therapy is not for everyone. That is not a good thing or a bad thing; that is a personal choice. As we said at the beginning, we want to help you make the choices that will work for you.
POWER OF TOUCH MASSAGE
We are often asked, "How often and how long will I have to come?" You need to understand that your problem did not originate in an hour; it has not existed for an hour; and we cannot make it go away in an hour. Some of the variables involved in answering this question are: the nature of your problem; how long you have had this problem; your age and physical condition; and your goals for improvement. What we can say is that you should feel better after every session. Also, after 8 sessions or less you should know whether this therapy is working for you. We are always happy to supply you with client references and information on our education and experience. Unfortunately, because massage is based upon an energy exchange, we are only able to do a finite number of massages each week. We never tell you not to do anything your doctor orders. We never claim to treat or cure. We never manipulate or adjust you. We do our very best to help you with your problem. Our insurance specifically excludes claims resulting from communicable diseases and specifically excludes HIV/ AIDS. Therefore, we are unable to provide services to people in these categories. Also, please do not come (cancel your appointment with 24hours notice) if you have any contagious, short-term illness. This reduces everyone\rquote s exposure and is an expected courtesy. On extremely rare occasions, you may experience some very slight soreness and/or bruising the day after a session. Again, this happens infrequently and is a minor, usually one time, effect. Our therapy is for people who are willing/want to participate in their own healthcare. This means making a commitment to making your healthcare a priority. We are a drugless therapy; an alternative to pharmaceutically based healthcare.
POWER OF TOUCH MASSAGE
THE BUSINESS SIDE
Any information exchanged during a massage session is private and strictly confidential. We have an on-going demand for our services beyond our ability to provide them. Therefore, please cancel your appointment 24 hours in advance, or you will be charged the full appointment fee. Please be aware that you reserve a specific time period. We do our very best to ensure that you do not have to wait for your appointment, and we are over 99% successful. Conversely, if you are late we cannot make subsequent clients wait, so your appointment will be finished at the designated time. We charge a set fee per session; depending upon your problem, a session will be from 30 minutes to one hour; longer sessions will be charged accordingly. In order to reduce costs, we do not bill. Payment is expected when services are rendered unless other arrangements have been made in advance.
CONCLUSION
We hope this has answered some of your questions. We look forward to helping you. Gary and Kathy Lescak
POWER OF TOUCH MASSAGE
CLIENT INFORMATION FORM
NAME_________________________________________________________________
ADDRESS______________________________________________________________
street city state zip
BIRTH DATE___________________SOCIAL SECURITY#____________________
TELEPHONE#__________________________________________________________
home / business / cell
OCCUPATION__________________________________________________________
GENERAL HEALTH CONDITION______________BLOOD PRESSURE________
HAVE YOU HAD ANY SERIOUS OR CHRONIC ILLNESS, SURGERY, CHRONIC VIRUS INFECTIONS, OR TRAUMATIC ACCIDENTS? (If yes, please specify )
HAVE YOU HAD OR DO YOU HAVE ANY CONTAGIOUS DISEASE OR ILLNESS?
(If yes, please specify. )
___________________________________________________________________________
DO YOU HAVE AN ADDICTION OR ABUSE PROBLEM?___________________
ARE YOU CURRENTLY UNDER THE CARE OF A PHYSICIAN, CHIROPRACTOR, OR OTHER HEALTH PRACTITIONER?_________________
IF YES, FOR WHAT CONDITIONS?_______________________________________
PLEASE LIST ANY MEDICATIONS YOU ARE CURRENTLY TAKING:__________
___________________________________________________________________________
DO WE HAVE PERMISSION TO CONTACT YOUR DOCTOR/THERAPIST?______
NAMES OF DOCTORS/THERAPISTS:____________________________________
________________________________________________________________________
HEIGHT:------------ WEIGHT:----------------
POWER OF TOUCH MASSAGE
DO YOU HAVE ANY ALLERGIES OR OTHER PROBLEMS ABOUT WHICH WE SHOULD BE AWARE ( PLEASE SPECIFY )?
__________________________________________________________________
PLEASE SPECIFY WHY YOU HAVE COME FOR OUR SERVICES (I. E. A SPECIFIC PROBLEM, PAIN, RELAXATION, ETC. ):
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HAVE YOU EVER HAD ANY MASSAGE THERAPY?_______________________________________________________
HOW DID YOU FIND OUR SERVICES?_______________________________________________________
IN CASE OF EMERGENCY NOTIFY:__________________________________________________________
NAME PHONE
I HAVE COMPLETED THIS INFORMATION FORM TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THE MASSAGE SERVICES ARE DESIGNED TO BE A HEALTH AID AND ARE IN NO WAY TO TAKE THE PLACE OF A DOCTOR\rquote S CARE WHEN IT IS INDICATED. INFORMATION EXCHANGED DURING ANY MASSAGE SESSION IS EDUCATIONAL IN NATURE , IS INTENDED TO HELP ME BECOME MORE FAMILIAR WITH AND CONSCIOUS OF MY OWN HEALTH STATUS, AND IS TO BE USED AT MY OWN DISCRETION. OUR TIME TOGETHER IS PRECIOUS, AND I AGREE TO CANCEL APPOINTMENTS 24 HOURS IN ADVANCE. IF I MISS AN APPOINTMENT WITHOUT SAID NOTICE, I AGREE TO PAY THE FULL APPOINTMENT FEE.
DATE____________________SIGNATURE_____________________________