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Welcome Form


We Appreciate Your Patronage

Thank you for making an appointment for medical restorative massage therapy at the M.T. Wellness Clinic. We enjoy serving you and we are pleased to be a member of your health care team.

 

Click here for our printable forms

 

 

 

Important Information For New Clients

If you are a new client, please tell us about your relevant health history and current situation using the attached forms.  This information is very helpful to our therapists as they develop and execute your individual plan of care.

We respect your privacy.  Your personal information will be treated in a confidential manner and will not be given or shared with third parties without your permission.

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Important Information For All Clients

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Always inform your therapist of any changes to your condition or needs so that we can provide the best care possible.

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Payment is due at the time of service.  Cash, Master Card or Visa, and personal checks are accepted.  If a personal check is returned due to insufficient funds, the Clinic will charge an additional $30.

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Scheduling appointments several weeks in advance provides the best opportunity to receive the times and dates most convenient for you.

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Please help us respect the time of all clients and therapists by notifying us 24 hours in advance if you are unable to make your appointment. After office hours, you may leave a message on our voice mail.  Unfortunately, you will be responsible for the cost of an appointment that is not canceled in a timely manner.

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We do our best to honor your requests for a specific therapist.  If your need is immediate, especially when related to pain management, it may be necessary for you to schedule with a different therapist.  Rest assured that all of our therapists have excellent therapeutic training and similar skills.

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Insurance receipts can be issued upon request.

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Sales tax exemption is available for clients with a medical prescription for massage therapy.

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Please inform the office staff of any address or telephone number changes.

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We respect your privacy and we keep your confidential information confidential.  M. T. Wellness Clinic recognizes the great importance of the personal information you share with us about your health and current situation.  No information from your file will ever be shared with outside parties without your written consent.  It is sometimes necessary for the therapists within the clinic to consult with each other about your course of treatment.  This is done to provide you the highest quality treatment, and information shared in this manner will always remain within this office.

You can download and print the following forms:

Financial Responsibility - Click Here
Initial Problem Status - Click Here
Personal Health Information  - Click Here
Functional Impact - Click Here

 

Contact Us




1151 Bethel Rd. Suite 302
Columbus, OH 43220

P: 614.273.0810
F: 614.273.0173

Monday - Thursday 9a - 8p
Friday 9a - 5p
Saturday 9a - 3p