Client responsibility for your well-being
Clients are responsible for your own self care and decision making. If you have a specific medical condition or specific symptoms, somatic bodywork therapies may be contraindicated, including craniosacral therapy, myofascial unwinding, orofacial therapy, Spinning Babies®, Body Ready Method®, or developmental movement therapy. Because these somatic bodywork therapies, listed above, should not be performed under certain medical conditions, you affirm that you have named and described all your known medical conditions. You agree to keep the practitioner updated as to any changes in your medical profile and understand that there shall be no liability on the practitioner’s part should you forget to do so. A referral from your primary care provider may be required prior to service being provided.
You understand that the somatic therapy that you receive is provided for the basic purposes of balancing fascia, muscle tone and coordination, and for restoration of the craniosacral & fluid rhythms. You understand that developmental movement therapy/reflex integration is provided for the activation of essential neural connections. If you experience any pain or discomfort during a session, you will immediately inform the practitioner so that therapy may be adjusted to your comfort. You understand that the breech balancing program is not a guarantee that your baby will rotate, but instead opens space around the baby to allow room for their rotation.
You further understand that somatic bodywork such as myofascial massage/craniosacral therapy and developmental movement therapy/reflex integration should not be construed as a substitute for medical examination, diagnosis, or treatment and that you should see a physician, chiropractor or other qualified medical specialist for any mental or physical ailments of which you are aware. You understand that somatic bodywork therapists are not qualified to perform spinal or skeletal adjustments, to diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such.
Payment is due on the day of service for most bodywork appointments, and that some appointments may require a deposit. Payment is required in advance for classes, the breech balancing program, gift certificates and discounted packages.
Additionally, you agree to pay a processing fee of $10 for each payment that are not made on the day of service and additional bank fees for any check or debit that does not clear. The practitioner may discontinue sessions if payments are not current.
The practitioner can generate a statement for your insurance carrier or flex plan to facilitate your reimbursement request. Please check your benefit coverage first. Your service may be eligible for flex plan coverage, if your employer offers this benefit.
Cancellation and rescheduling for any appointment, session or class requires a minimum of 36 hours notice by one of the following means: (1) through your account at the Acuity scheduling app, (2) by voicemail or text to Catherine Burns at 612-444-9842 or (3) by email to Catherine@MamaBebe.org. If you do not provide 36 hours notice, any deposits will not be refunded, and you will be responsible to pay the posted fee in full.
Client statement: You agree to all of the terms of the Client Agreement, as described above, when you sign at the Intake form.