Cancellation Policy and Intake Agreement
This is a professional, medical massage practice and one woman show. I take great pride AND care to run a safe, ethical private practice. I am a member of both the American Massage Therapy Association and the National Certification Board for Therapeutic Massage & Bodywork. To ensure the greatest care, it is imperative that all clients complete a thorough intake form as well as sign an agreement regarding services, expectations and office practices. Any changes to medications or health should be done immediately and provided in writing (email will suffice). Should you require open communication between Silver Linings and a physician, please note a separate waiver will be required.
I assure you, cancellations and “no-shows”are an inconvenience to both parties. No one likes to be charged for something they don’t get, however, there are many that would like to schedule, and because time is limited, know that you are responsible for appointments made, even if they aren’t kept. Many assume that if they don’t show for an appointment, cancel or reposition someone in their place they are not responsible for the payment of their session. While there is grace in knowing life happens, there are no exceptions (beyond illness, hospitalization or death) to the 24 hour cancellation policy.
There is no reminder service here-you will not be receiving courtesy text or emails; please ensure your calendar is up to date and reach out as soon as possible should there be conflict in order to reschedule. I will do my best to accommodate you.
I have chosen to include a copy of the agreements that you will sign prior to any service or treatment. This is a courtesy available to you, as most do not remember what they have signed, or agreed to. Should these terms change, you will be asked to complete and sign an updated form. If any of these conditions cause rise for concern, or conflict, know I am more than happy to refer you to another therapist. These are the conditions you must agree to in order to be served here, which have been established to protect us both. Thank you for your understanding, respect and cooperation.
Please note, that if it has been a year or more since your last service, you will be required to complete a new intake form. The complete intake form and agreement can be found on the “Intake and Registration” page
For Vibrational Sound Healing & Biofield Tubing Sessions:
PLEASE READ CAREFULLY
Because Silver Linings must be informed and aware of any existing physical, mental, and or emotional conditions, I have thoroughly and truthfully, answered and listed all known medical conditions and physical limitations, as well as any implants or metal devices. I understand I must inform Silver Linings in writing of any changes to my physical health and/or medications, including surgeries and/or injuries. I understand I am responsible and have the choice to utilize or discard the information received at any time of visit, and all information is given with the sole intent to ease suffering, educate or improve my understanding, health, and is no way offered as medical advice.
I understand that the therapy received is for the sole purpose of stress reduction, relief from muscular tension, and or improving circulation. I understand I am selecting this treatment of my own free will and understand the coherent risks when receiving Vibrational Sound therapy (VST) or Biofield Tuning (BFT). I understand that my therapist does not diagnose, nor treat, illness, disease, or any other medical, physical or mental disorder, nor prescribe for conditions thereof. I understand it is my responsibility to consult a qualified physician or alternative healthcare provider in the event I need treatment for a physical or mental condition. I understand my practitioner is not “diagnosing” nor “treating” but connecting to the “subtle body” (aka biofield) in order to facilitate and manifest potential change or transformation experienced and created by me, the client.
Vibrational Sound Therapy and/or Biofield Tuning and any associated process should not be relied upon nor serve as a replacement for health, medical, professional or psychological care or advice. These modalities are methods of energy medicine (various forms of energy techniques, processes and methods leading to the manipulation and/or modification of energy fields using deep sensing, consideration and suggestion to restructure imbalances, including but not limited to the energetic influence of thoughts, beliefs and emotions in an individual’s energy system). This systematic approach is an adjunct for self-healing and wellness using sound waves by various specialized instruments within the biofield surrounding the body, as well as the application of touch directly on the body with various instruments (i.e.: tuning forks, bowls and crystals).
I understand the purpose of VBS and BFT is to assess any areas of “dissonance”, release any “static”, rebalance the body’s electromagnetic and subtle energy flow thereby creating room to promote greater energy, health, vitality and well-being. While there are many promising benefits, I understand that VBS and BFT has yet to be fully researched or understood by most Western communities (academic, medical, psychological and even many spiritual), and may be considered experimental. The effectiveness, along with risks and/or benefits are not fully known or understood. These energy medicine modalities are considered by most as “alternative” or “complimentary” to the healing arts currently licensed in the United States. Furthermore, VBS, BFT and other energy medicine modalities are self-regulated and there is no state licensing, certification or registration currently available. I understand that my practitioner is certified in many energy medicine modalities, but none are acknowledged nor regulated by any federal or state enforcement or agency.
I understand that during my visit, it is imperative for me to communicate with my therapist on discomfort, response to sound, and or vibration, concerns, and any other emotions or issues that might arise as a result of the service. I will be honest with my therapist to ensure both our safety, as well as obtain the best results possible from my visit. If I feel uncomfortable at any time, feel that my therapist’s behavior is inappropriate, or that I am being injured, I will inform my therapist immediately using clear words like “stop “, “too loud “or “this is uncomfortable “. I understand my therapist may place a variety of instruments on and/or around the body. I understand it is not uncommon to have vibrations move through the body, impacting the ears, and or joints, with the possibility of a recurrence of pain (inflammation, discomfort, flareups, etc.) to previous injuries, or chronic conditions after a session, as well as referral pain to new areas. I also understand it is not uncommon to experience a “detox” response, which can include flu-like symptoms, headaches and/or dizziness, noticeable fatigue and in rare instances excessive mucus, fevers, vomiting, diarrhea and/or excessive thirst. I will not hold my therapist responsible nor seek financial restitution should any pain follow an appointment. Both I, and the therapist, have the right to end the session at any time, regardless of circumstance, with the understanding that payment in full is still expected, unless done so within the 24-hour cancellation time frame. If I touch or approach my therapist, or make advances with sexual intent, or give rise to behavior interpreted as such, the session will be immediately terminated, and payment in full is still expected.
I understand that due to the number of requests for appointments, there is a 24-hour cancellation policy. I am responsible for payment of any appointment scheduled and not canceled within 24 hours prior to my appointment. I understand my appointment time begins at the time agreed upon and will still be responsible for payment in full of the appointment, even if the session time is shortened. I understand that if I am late, my appointment time will be reduced to the time left and accordance to what was scheduled.
I understand that any package purchased is non-transferable to others, or towards other services, and valid for one year after the initial date of purchase. I understand that any appointment made after the purchase of a package will be deducted and documented as used, including canceled appointments, or those appointments made, but not attended, considered “no-shows.” I understand any purchases of gifts certificates or nontransferable. (Single sessions are valid for six months packages valid for one year.) I understand there are no refunds on any purchases, including, but not limited to: all services, packages, gift certificates, products, workshops, or events, regardless of reasoning, or circumstances be at lack of satisfaction, a change of heart towards the services, discomfort, following a session or the inability to utilize services.
There is a $30 check fee for all canceled or return checks. I understand that by signing this release, I hereby wave and release Silver Linings, llc, and its affiliates from any, and all liability past, present, and future relating to Vibrational Sound Therapy and/or Biofield Tuning.
For Massage Therapy clients:
PLEASE READ CAREFULLY
Because Silver Linings must be informed and aware of any existing physical, mental and/or emotional conditions, I have thoroughly & truthfully answered & listed all known medical conditions & physical limitations, as well as medications in the questions above. I understand I must inform Silver Linings in writing of any changes to my physical health and/or medications, including surgeries &/or injuries. I understand I am responsible and have the choice to utilize or discard the information received at my time of visit, and all information is given with the sole intent to educate or improve my understanding and health and is in no way offered a medical advice.
I understand that the therapy received is for the sole purpose of stress reduction, relief from muscular tension, and/or improving circulation. I understand I am selecting this treatment of my own free will and understand the coherent risks when receiving body work. I understand that my therapist does not diagnose, nor treat illness, disease or any other medical, physical or mental disorder, nor prescribe for conditions thereof. I understand it is my responsibility to consult a qualified physician or alternative health care provider in the event I need treatment for a physical or mental condition. I understand that my services are not a substitute for medical examinations.
I understand that during my visit, it is imperative for me to communicate with my therapist on pressure, discomfort, referred pain, concerns and any other emotions or issues that might arise as a result of the service. I will be honest with my therapist to ensure both our safety, as well as obtain the best results possible from my visit. If I feel uncomfortable at any time, feel that my therapists’ behavior is inappropriate, or that I am being injured, I will inform my therapist immediately using clear words like “stop” or “back off”, in addition to using the “Pain Scale of 0-10”. I understand it is not uncommon to have a reoccurrence of pain (inflammation, discomfort, flair-ups, etc.) to previous injuries or chronic conditions after a session, as well as referral pain to new areas. I will not hold my therapist responsible nor seek financial restitution should any pain or discomfort follow an appointment.
Both I, and the therapist, have the right to end the session at any time, regardless of circumstance, with the understanding that payment in full is still expected, unless done so within the 24-hour cancellation time frame.
I understand that during a standard table massage, it is most often administered without clothing; however, if I feel uncomfortable with this, I can leave on my bottom underwear. I understand that I will be draped at all times, except for the area being addressed. I understand that all massages are non-sexual, so that no genitals will be touched or exposed, but covered with a sheet at all times. If I touch or approach my therapist or make advances with sexual intent, or give rise to behavior interpreted as such, the massage will be immediately terminated, and payment in full is still expected.
I understand that due to the number of requests for appointments, there is a 24-hour cancellation policy. I am responsible for payment of any appointment scheduled and not canceled within 24 hours prior to my appointment. I understand my appointment time BEGINS at the time agreed upon and will still be responsible for payment in full of the appointment, even if table time is shortened. I understand that if I am late, my appointment time will be reduced to the time left in accordance to what was scheduled.
I understand that any package purchased is non-transferable to others or in exchange for other services, and valid for 1 year after the initial date of purchase. I understand that any appointment made after the purchase of a package will be deducted and documented as used, including canceled appointments or those appointments made but not attended (considered “no-shows”). I understand any purchases of gift certificates are non-transferable (single sessions are valid for six months; packages valid for 1 year). I understand there are NO REFUNDS on ANY purchases including but not limited to: all services, packages, gift certificates, products, workshops or events, regardless of reasoning, or circumstance (be it lack of satisfaction, change of heart, discomfort following a session or the inability to utilize services). There is a $30 check fee for all canceled/returned checks. I understand that by signing this release, I here by wave and release Silver Linings, llc, and it’s affiliates from any, and all liability past, present, and future relating to bodywork (i.e, massage, neuromuscular therapy, etc.).
For Yoga and/or Somatic Movement Therapy:
PLEASE READ CAREFULLY
Because Silver Linings must be informed and aware of any existing physical, mental and/or emotional conditions, I have thoroughly & truthfully answered & listed all know medical conditions & physical limitations, as well as medications in the questions above. I understand I must inform Silver Linings in writing of any changes to my physical health and/or medications, including surgeries &/or injuries.
I understand that the activities are for the sole purpose of stress reduction, relief from muscular tension, and/or improving circulation. I understand that my instructor does not diagnose, nor treat illness, disease or any other medical, physical or mental disorder, nor prescribe for conditions thereof. I understand it is my responsibility to consult a qualified physician or alternative health care provider prior to starting ANY physical activity and will do so in the event I need treatment for a physical or mental condition. I understand that yoga & movement are not a substitute for medical examinations. I understand all suggestions made for self-care are given with the intent to improve my state of being and are in no way offered as medical advice.
I understand that during my movement session, it is imperative for me to communicate with my instructor on limitations, pressure, discomfort, referred pain, concerns and any other emotions that might arise as a result of the session. I will be honest with my instructor always to ensure both our safety, as well, to obtain the best results possible from my session. If I feel uncomfortable at any time, feel that my instructor’s behavior is inappropriate, or that I am being injured, I will inform my instructor immediately. Both I, and the instructor have the right to end the session any time during the regardless of circumstance, with the understanding that payment in full is still expected. I understand it is not uncommon to have a reoccurrence of pain (inflammation, discomfort, flair-ups, etc.) to previous injuries or chronic conditions after a session, as well as referral pain to new areas. I will not hold my therapist responsible nor seek financial restitution should any pain follow an appointment.
I acknowledge the risks involved with any form of exercise & accept full responsibility to any injuries that might arise as a result of my participation (of my own free will) in activities at Silver Linings, llc. I will not hold the facility, nor instructors, responsible or liable (be it financial, medical, legal or other unlisted liabilities) that might arise as a result to my participation in such activities or events. Any expenses or injuries incurred are at the noted risk and expense of my agreed participation. This holds true for private sessions, group classes and/or workshops in which I may elect to participate.
I understand that due to the number of requests for appointments, there is a 24-hour cancellation policy. I am responsible for payment of any appointment scheduled and not canceled within 24 hours prior to appointment. I understand my appointment time BEGINS at the time agreed upon and will still be responsible for payment in full of the appointment, even if the movement time is shortened. I understand that if I am late, my appointment time will be reduced to the time left in accordance to what was scheduled.
I understand that any package purchased is non-transferable to others, or towards other services, and valid for 1 year after the initial date of purchase. I understand that any appointment made after the purchase of a package will be deducted and documented as used, including canceled appointments or those appointments made but not attended (considered “no-shows”). I understand any purchases of gift certificates are non-transferable (single sessions are valid for six months; packages valid for 1 year). I understand there are NO REFUNDS on ANY purchases) including but not limited to: all services, packages, gift certificates, products, workshops or events, regardless of reasoning, or circumstance (be it lack of satisfaction, change of heart, discomfort following a session or the inability to utilize services).
I understand there is a $30 return check fee for any payments returned. I am responsible for providing payment to Silver Linings for the return check fee amount, and any additional fees incurred due to the lack of funds provided with payment for service. I understand that by signing this release, I here by wave and release Silver Linings, llc, and it’s affiliates from any, and all liability past, present, and future relating to movement (ie. yoga, somatic movement, breathwork, etc).
Wellness Empowerment Consults:
PLEASE READ CAREFULLY & SIGN THE FOLLOWING
Because Silver Linings must be informed and aware of any existing physical, mental and/or emotional conditions, I have thoroughly & truthfully answered & listed all know medical conditions & physical limitations, as well as medications in the questions above. I understand I must inform Silver Linings in writing of any changes to my physical health and/or medications, including surgeries &/or injuries. I understand I am responsible and have the choice to utilize or discard the information received at my time of visit, and all information is given with the sole intent to educate to improve my understanding &health.
I understand this consult is not a medical consult, nor replaces my current treatments or medical advice. This consult does not include any diagnosis, treatment or medication prescriptions. The purpose of these consults are to help gain knowledge, receive education, and develop awareness towards: health goals, stress management, various modes of healing, plant and herbal solutions, the spiritual and emotional roots to physical ailments and lifestyle choices. I understand that my consult is not to diagnose, nor treat illness, disease or any other medical, physical or mental disorder, nor prescribe for conditions thereof. I understand it is my responsibility to consult a qualified physician or alternative health care provider in the event I need treatment for a physical or mental condition. I understand that my services are not a substitute for medical examinations. I understand all suggestions made for self-care are given with the intent to improve my state of being and are in no way offered as medical advice.
I understand that during my visit, it is imperative for me to communicate any discomfort, concerns or any other emotions or issues that might arise as a result of the service. I will be honest at all times to ensure both our safety, as well as, to obtain the best results possible from my consult. If I feel uncomfortable at any time, feel I am being misinformed, or I am being injured, I will speak up immediately. Both I, and Silver Linings, have the right to end the session at any time, regardless of circumstance, with the understanding that payment in full is still expected, unless done so within the 24-hour cancellation time frame.
I understand that a variety of food, herbal remedies/solutions, body work techniques and other forms of complimentary modalities might be discussed and encouraged. I understand it is my responsibility to discuss these options with my medical or healthcare provider before exploring or implementing any of these. I deem harmless and withhold any and all responsibility from Silver Linings, llc (and any affiliates) that may result in a negative or harmful experience from such modalities, included but not limited to: sickness, adverse reactions, hospitalization or death. I understand it is my sole responsibility to further research and decide how to proceed with any suggestions.
I understand that due to the number of requests for appointments, there is a twenty-four-hour cancellation policy. I am responsible for payment of any appointment scheduled and not canceled within 24 hours prior to my appointment. I understand my appointment time BEGINS at the time agreed upon and I am responsible for payment in full of the appointment. I understand that if I am late, my appointment time will be reduced to the time left in accordance to what was scheduled.
I understand that any consult purchased is non-transferable to others. I understand that any appointment made after the initial consult may incur an additional fee, including canceled appointments or those appointments made but not attended (considered “no-shows”). I understand there are NO REFUNDS on ANY purchases, including but not limited to: all services, packages, gift certificates, workshops or events. I understand the billing structure of additional consults and will make payment in full immediately. I understand I am still responsible for any time billed regardless of if I cancel any further consults. I understand any returned checks are charged a $30 fee, and payment in full is expected in addition to this fee. I understand that if my bill is not paid in full within 30 days, I am subject to the billable interest rate as is applicable by Alabama State law, to be applied to the balance due, until paid in full.