Payment Information

Pricing/Payment

Payment varies on age and time.  In general:

Initial visit - $70    

Discuss medical history, myofascial assessment, Bowenwork/Tensegrity Medicine treatment 

Return visit - $60

Myofascial re-assessment, Bowenwork/Tensegrity Medicine treatment

 

Cash and check are accepted. Returned check fee is $20.

Apple Pay and PayPal are accepted.

Credit cards are accepted.

 

Cancellation and No Show Policy

Please notify me within 4 hours of your appointment to reschedule.  If no communication is made and you miss your appointment, the fee for cancellations or no shows is a $40.

Please keep in mind that if you arrive more than 15 minutes late to your appointment, the therapist may choose to reschedule and cancellation fees may apply.

Client Intake Form - 2 options: download or submit online form.

OPTION 1: Please download, print, and complete before your first session.  You can scan and email to me at: info@bowenworkforwellness.com or bring to your first session.

OPTION 2: Online form - please complete and click submit when finished.

What is your biological gender?
What is your occupation? What are the physical demands of your work?
Please list your current medications and supplements and its intended use.
Please list any allergies and your treatment for them.
What is the reason for your visit? Select all that apply.

Medical Problems:

Orthopedic Problems:

In the box below, please list the date/s of injury/diagnosis and also list specifics (ie. dislocation, joint replacement, surgical procedure, type of cancer, diagnostic tests (X-ray, MRI, etc.) etc.) about each condition checked.

Please describe the treatment and therapies and if they were successful, and the length of time tried for your condition/s.  Please describe what makes your symptoms better and what aggravates your symptoms and if your symptoms get better or worse as the day progresses.  Also please list activities compromised by your condition/s.

I have stated, to the best of my knowledge, my known medical conditions. I understand that Bowenwork® is given for the purpose of stress reduction, relief from muscular tension and/or spasm, facilitation of circulation and energy flow, and relief from stiffness.  

 

I understand that the practitioner does not diagnose illness or disease, nor treat specific physical or mental disorders.  I will inform my practitioner of any changes in my condition, and will contact my practitioner should I have any concerns.  

I understand, as the client or responsible party, that I am fully responsible for full payment.  I understand that payment is due at the time of my appointment and that insurance is not accepted.  Payment maybe made by check, cash, or credit options.  I also understand that if I no show or late-cancel for an appointment, I will be charged $40.

For the treatment of minors, I hereby grant permission for therapy to be performed on this minor.

Notice of Privacy Practices

Any health information or identifying factors you provide will remain confidential and will be stored according to HIPPA compliance practices.  You may be contacted to for appointment reminders, treatment alternatives, or other health-related benefits or services that may be of interest to you.  Any other use, such as disclosing medical information for specific purposes, will be made only with your written authorization.

Email Consent

Bowenwork® for Wellness allows clients to communicate via email even though it comes with risks.  I have been advised that email is not appropriate for urgent health matters or emergencies, shared email accounts or computers can compromise privacy, email is not an effective or timely method of communication, and email correspondence may be included in record keeping.  Bowenwork® for Wellness will make every reasonable effort to ensure email correspondence is confidential and will only be used for clients over 18 years of age.  If you not want to receive appointment reminders, home programs, or newsletters via email, please verbally communicate your wishes to Bowenwork® for Wellness. 

Location:

The Natural Touch Wellness Studio

3150 Washington Road, 2nd floor

McMurray, PA 15317

http://naturaltouchwellnessstudio.com/

Contact Information:

Cheryl Ferris, PhD, LAT, ATC

Certified Bowenwork Practitioner

Tel: 412-225-4929

Email: info@bowenworkforwellness.com

Learn more about Bowenwork® for Wellness

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Copyright 2019 Bowenwork® for Wellness