CLIENT POLICY

Thank you for taking the time to read this short but important statement. The purpose of this statement is to determine what is and what is not acceptable, and to establish professional boundaries, I welcome questions and will try to accomadate your needs regarding the procedures laid out in these three pages. I am looking forward to meeting you.  

My goal is to provide the highest quality care (Massage Therapy and Myofascial Therapy) to those who seek professional service. I perform only those services for which I am qualified. My practice does require an initial “intake interview” and the completion of an intake form. More details you will find on page two and page three.  

Intake Interviews: Talking Hands offers a variety of services; therefore I have two types of initial intake interviews developed. They are different in duration and the initial evaluation and physical assessment as part of your first appointment. The “Standard intake interview” is designed for a regular client who seeks treatment for relaxation, nourishment, or stress reduction (75 min). Massage Therapy would be the modality to meet those needs. Symptoms are mild and usually tightness or stiffness. 

The “Comprehensive intake interview” (90 min) is used with acute and chronic pain patients, Worker’s Compensation patients, and individuals with injuries who primarily seek treatment for pain relief. Myofascial therapy is best suited for this problem. For those individuals a medical history sheet and a different evaluation need to be completed and the best approach in treatment has to be determined. Symptoms are dull ache, sharp pain, soreness, tingling, numbness, cold fingers or feeds, etc. 

FEE- PAYMENT - CANCELLATIONS - REFUNDS

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BUSINESS DAYS & HOURS
Monday to Friday - 8:00 am to 5 pm.

“Saturday appointments and out-calls are available by speecial request. All treatments or sessions are by appointment only.” Please call me at 949-413-1567 

CONFIDENTIALITY
Confidentiality is used to protect client and patient information. If it becomes necessary to share information about one’s care with other professionals involved in their care or insurance companies paying the bill, my practice is required to attain permission to release medical information. Information about care and treatments are shared only if the client or patient signs a statement authorizing it.

IMPORTANT INFORMATION
Pregnant women and individuals with high blood pressure, heart conditions, or under medical care should consult a physician before scheduling a session.

Thank you for taking the time to read this statement. If you have any questions please feel free to ask. I am looking forward to working with you.

Carlos Messerschmidt, LMT, CMTPT, NCTMB

FIRST SESSION

To help me with your first evaluation I have THREE DIFFERENT intake forms. 
Please click the appropriate form for your condition to download a copy. 
Print a copy and fill it in and bring it to your first session. 

1. STANDARD INTAKE FORM

Select this intake if your are coming for bodywork with “NO Medical Conditions”

Click page to open  

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2. MEDICAL INTAKE FORM

Select this intake if you have

“An Acute or Chronic Condition”

Click page to open   

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3. LYMPHATIC INTAKE FORM

Select this intake if you have

“An Acute or Chronic Condition”

Click page to open   

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Click page to open