Please arrive on time for your session to ease your entry into the process and out of consideration for others. Complete the intake process by filling in the Personal and Health Data Form and signing this Policy Agreement Form. Another copy of this Agreement Form will be provided for your information.
After the session, drink lots of water, bathe before retiring, set aside time to integrate your experience. Treat yourself with consideration.
Appointments are contractual. Please give me at least 24 hours notice if an appointment needs to be canceled or changed. My obligation is to reserve the time for you alone; your obligation includes assuming full financial responsibility for that reservation. Unless 24 hour notice is given or an extreme emergency or illness necessitates re-scheduling, I am due full payment for a missed or canceled session. If I miss an appointment or cancel with less than 24 hours notice, I will owe you a session, gratis.
If you are late for an appointment it will not be possible to extend your session beyond the scheduled time, and I am due full payment for that session.
Session fees should be by cash or check payable to Robert Clark at the time of the session. Medical insurance coverage should not be automatically assumed under Maryland's State Certification of Massage Therapists. Receipts and brief reports are available upon request if you seek reimbursement from your insurance company.
Fee Schedule: Therapeutic massage, TRAGER® bodywork, Reiki, or integrated sessions: For the initial 80 minute session, the fee is $90 (approximately 65 minutes of table time). Subsequent sessions maybe be arranged for 80 minutes or 60 minutes. The briefer 60 minute session fee is $75 (approximately 50 minutes of table time). Two hour TRAGER Tutorial is $110.
Rebirthing breathwork session: For a 2 hour session, the fee is $120 ; this includes time for sharing goals for the day's breathwork, and a facilitated breathing session.
For in-home visits add $40 to any of the above fees.
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I have read the above information and agree to the fees and policies. I understand that this work does not constitute medical treatment. I take the ongoing responsibility for alerting Robert Clark to any physical or emotional condition that would affect this work. I understand that Robert Clark and the health practice with which he is associated will not share any of my personal health information with any third parties without my express written consent unless required to do so by law.
Signature ______________________________________________ Date _______________
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My policies are the same at the Center, and the fee schedule is slightly more at the Center. Payment at the Center is to be made at the time of the session by credit card or check, payable to: The Maryland Center for Integrative Medicine.
Medical insurance coverage should not be assumed. If you come with a prescription for TRAGER or massage therapy treatment, we will assist you in filing for reimbursement by providing you with our standardized super-bill receipt for payment for services.
When making your appointment, please specify the session length.