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Policies and Forms

Please click on the Blue Buttons for the Office Policy Agreement and Health History Form. First-Time Clients may make a physical copy to handwrite their information, or they may type in their response after making a new copy to email me in advance or print and bring the completed documents to the first appointment. 

The full text of Copper Mountain Manual Therapy Office Policies is shown below for your review. Please click on the title of each document above to open it in a new window. If you are a New Client, please complete your health history and sign our Office Policy Agreement before your first appointment. 

My Requirements of Clients

I respect my time and the time costs of others.

  • Sessions begun late due to the client arriving late are still full price and limited to the minutes booked.

  • If you are more than 10 minutes late, you will be charged for that appointment without services

    • As a new client, with prior notice of cancellation, you are welcome to reschedule online.

    • If you miss two appointments without notice or give no notice for cancellation of a New Client Appointment,  services will no longer be offered.

  • 24-hour or greater notice for cancellation will NOT be charged.

  • Payment is required at the time of service. A credit card is required for online scheduling.

    • I do accept all major credit cards, including Health Savings Programs and Health Tax Shelter cards.​

    • I do not file insurance claims. I will remit a client's records to that client, only.

    • I can be paid via Venmo.

Please come alone to your appointment.

  • Caregivers for physical assistance needs are welcome. 

  • Parents are encouraged to schedule childcare away from the professional studio unless the child is scheduled for treatment. 

  • All minors must be accompanied by a legal guardian to allow treatment.

Come physically prepared for your appointment

  • DO NOT COME to your appointment if you are ill and contagious. PLEASE CALL AHEAD TO RESCHEDULE.

  • Be clean, having showered the same day as your treatment.

  • Be present (not under the influence of alcohol or drugs, etc.) 

  • Clients must be prepared in advance with their health history and update when there have been any significant events/changes related to their health.

  • This office is a non-smoking environment.

Sexual harassment is not tolerated. If the practitioner's safety is compromised, the session is terminated without reimbursement.

What Clients Can Expect of Me

  1. Clients are treated with respect and dignity. Privacy and confidentiality are maintained at all times.

    • I provide my clients with a competent and professional session each time they come for an appointment, addressing the client’s specific needs for that session.

    • I perform services for which I am qualified and able (physically and emotionally) to do, and I refer clients to appropriate specialists when work is not within my scope of practice and/or not in the client’s best interest.

    • I charge a fair price for my services.

    • I stay current with information and techniques by studying and by completing at least two workshops per year.

    • Clients are clothed at all times during the session. The genitals are never exposed or treated in any way

  2. I only provide my services at my business location. I do not do house calls or treat clients at their businesses, rest homes, rehabilitation centers, or hospitals.

  3. This office does not accept any medical plans or medical insurance.

    • Clients who have open workmen’s compensation cases, who have had an accident that requires litigation or an open insurance claim are encouraged to use those resources to their fullest before coming to my office. It is wise to claim physical pain in all parts of the body as moving pain is part of the healing process and will allow fuller treatment of your injuries. 

    • This office does not submit statements to an insurance company for reimbursement for treatment related to an accident. I suggest that you do not anticipate being reimbursed by your insurance company.

  4. Payment is due at the time of service.

    • I do not provide direct billing for insurance. I do not accept checks from insurance companies. I accept credit cards (Visa/MC/Discover/American Express, including Health Savings Plans and Health Tax Shelter cards).

    • A statement showing payment or my private notes about a session can be sent or given to the client, only.

    • I am not licensed to diagnose. This office does not fill out forms, write letters, or write reports to insurance companies or personal injury attorneys. This is not negotiable; I make no exceptions. I only release client records to the client.

  5. I only cancel appointments in case of an emergency. Should I need to cancel an appointment, I give as much notice as possible.

  6. My equipment and supplies are clean and safe.


By making an appointment you are accepting the rules and conditions of this office.

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