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first time patients

Welcome! If this is your first visit to Maine Healing Arts: please remember to arrive at your appointment in loose-fitting, comfortable clothing. You will also need to read through the policies below and then fill out the health intake form at the bottom of this page. Thank you!

 

 

 

First-time visit and intakes: Please arrive a few minutes before your appointment time; if it is your first visit, there is a waiting room available. You will be asked to fill out a health intake form before your session. To save time, a digital form is available below, please fill this out in advance.

 

Late arrivals/cancellations/"no show" appointments: Please arrive on time for your appointment. If you think you may be running late, please email, text, or call. We will do our best to accommodate the appointment within the allotted service time previously scheduled. 

 

If you need to cancel your appointment, please notify me outside of 48 hours. If you are unable to do so through the online scheduling system, please email (reply to any appointment reminder email), text, or call. Full payment of appointment is required for no-call, no-show, or last-minute cancellations.

 

Snow Days: Please be sure your contact information is up to date so that we may stay connected in the event of inclement weather. If driving conditions are unsafe, we will likely close for the day.

Payment: You can pay with all major credit cards or Venmo as forms of payment. Full payment is due at time of service. If you are paying with a gift certificate, you must have the gift certificate information readily available.

 

Sickness: Bodywork and massage are not appropriate care for infectious/contagious diseases or sickness. Please cancel your appointment as soon as you are aware of illness, or contact me directly if you are unsure if bodywork and massage is appropriate. Please do not come to your appointment if you are unwell. (Regarding Covid-19: Although we will do everything we can to reduce the risk of transmission of COVID-19, ultimately you need to make your own educated choice about when to receive treatments.)

 

Clothing: Please wear (or bring) comfortable, loose-fitting clothing. Please do not wear shorts or skirts. Occasionally the body temperature may drop during a session, so wearing layers may be appropriate. There are a few techniques that require the removal of clothing; in these instances, draping will be used. During a typical session, liniments, balms, oils and herbs may be applied to the body, potentially staining fabric. If you have any questions or concerns, please do not hesitate to ask.

Cupping/Scraping/Tok Sen: In some instances, traditional fire cupping, or “cupping” and/or “scraping” therapy (aka graston or gua sha), or tok sen, may be recommended as part of the treatment plan during your Thai bodywork session. All are used as a treatment for increasing blood flow among other reasons. As a part of these therapies, there are risks of tenderness, bruising, redness and in many instances discoloration of the skin which may last up to 2 weeks. You may refuse these therapies at any time.

 

Codes of conduct and service:  We always treat all patients with the utmost respect and care. Our goal is to provide excellent customer service. However, we reserve the right to refuse service to anyone, at any time, for any reason. We work hard to create a safe, healthy, healing environment for all. Any level of misconduct or harassment will not be tolerated.

"Consent Signature" Consent to care and liability release statement (signature required for first time patients in form below): Your signature below indicates that the requested information has been accurately provided and that you will keep your massage therapy practitioner apprised of any new information related to your health history. By signing the Client Information + Health Intake form, you are a client of Sara-Lee Franklin’s, d/b/a Maine Healing Arts, for the treatment of bodywork and massage therapy. Bodywork and massage is not intended to cure, diagnose, or treat any medical conditions and should not replace treatment or consultation with a qualified physician or therapist. On rare occasions, client may have adverse reactions to bodywork and massage; symptoms may include dizziness, muscle soreness, bruising, allergic reaction to herbal products, among others. You are in complete control of your bodywork and massage session. If you feel any of these symptoms or are uncomfortable at any time, please inform your massage therapist so that adjustments can be made or to discontinue the session. By signing this release, you agree to not hold your massage therapist liable for any adverse effects you may experience during or after your bodywork and massage therapy session. Bodywork and massage sometimes require close contact of client and practitioner and may involve more client/practitioner contact than many people have experienced during other types of massage sessions. If you feel uncomfortable at any time for any reason, please inform your massage therapist immediately so that direct action may be taken to remedy the situation or discontinue the session, according to your preference. By signing this form, you also understand that any illicit, suggestive or sexual remarks or advances will result in immediate termination of the session. 

Please fill out the form below after reading the above policies before your visit to Maine Healing Arts. You agree to all policies and consent to treatment as described within the policies listed. 

Patient Health Intake

If you are a first time patient, please fill out this form as best you can, read and review above policies, and sign below.

Do you (check for yes)

Thanks for submitting!

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