Back In Balance ~
Massage and Wellness  Policies

When you arrive for your first appointment, you will be required to fill out a brief intake form and sign the policies page as seen below.
If you’d like to save time for when you arrive, you may download and print both --the intake form and this policy page and sign to bring in with you on your first appointment. Otherwise, you may fill both out at my office..
"Download the Intake Form here"

   Back In Balance Massage & Wellness Policies

  Cancellations- As a professional courtesy, I require 24 hours notice if you need to cancel or reschedule. This may be waived in the case of illness, inclement weather or extreme emergency. Less than 24 hours, there is a $30 charge which will be collected at your next scheduled appointment time. Likewise, if I need to cancel with less than 24 hours notice, I will add 20 minutes to your next scheduled, paid appointment.  “Repeat offenders” will be required to prepay for their appointment. Your consideration and respectfulness is much appreciated!
   Referrals- My business grows through your referrals. To show my appreciation, each time you refer someone to me, you will receive an additional free 30 minutes to your paid appointment of 60 minutes or longer.
  Payment- Cash payment is always appreciated and preferred, however, checks and Visa/Mastercard are accepted. If you do pay by check, please pre-write the check before your appointment. At Maple Ave, endorse it to Nita Keesler. At Global Fitness, endorse it to Global Fitness. There is a $25 returned check fee. For Credit Card payment, I will need you to bring your card with you. Sorry, I do not accept health insurance, but I can issue you a receipt if you would like to check with your insurance carrier for reimbursement. 

Packages- You have the option of pre-paying for your massage appointments and gift certificates in a package. For Packages, please pay in cash or credit only. (**Please note: For your own massage package, it is recommended to receive all 6 massages within 3-6 months for optimal health benefits to create healing benefits for your body.   

Gift Certificates—May be redeemed at Maple Ave. location only.

Arrival- Please arrive 5-10 minutes before your appointment so that your session may begin on time, and to allow for traffic. 

Intake/History Form- Every client will fill out an intake form/history on the first visit. It is the client’s responsibility to keep the therapist updated on any changes in health. Information is strictly confidential.
  Water- It is STRONGLY recommended that you drink at least 2- 8oz. glasses of water within an hour after your massage, preferably more in the subsequent hours. This should prevent the possibility of feeling tired or sore or any other possible after effects of massage.
  Cologne/Fragrances- Please refrain from wearing perfume or cologne prior to your massage appointment due to possible allergies of other clients as well as your therapist.
 Jewelry- Please remove jewelry before your massage, especially necklaces and dangling earrings. I can massage around rings.
  Termination of massage-Client understands that this service is strictly non-sexual and non-sensual in nature, and that any illicit or sexually suggestive remarks or gestures will result in the IMMEDIATE termination of massage session. Client also understands that massage cannot be provided if he/she is intoxicated. It is required to pay for the session in full.

 Signature _________________________    Date__________