Client Intake Form (Page 4 of 4) in pdf

C ancellation a nd P olicies f or F orm B ody L ab

At F orm B ody L ab, w e s trive t o s ee c lients i n t he m ost t imely a nd e fficient m anner, a dhering t o

scheduled a ppointment t imes.

In t he e vent t hat y ou a re u nable t o k eep y our s cheduled a ppointment w ith u s, p lease c ontact u s b y

phone o r e mail a t l east 2 4 h ours p rior t o y our a ppointment. I f y ou d o n ot r each u s v ia p hone, p lease

leave a m essage o n o ur v oice-‐mail s ystem. I f w e d o n ot h ear f rom y ou w ithin t his t ime f rame, a nd y ou

do n ot k eep y our a ppointment, y ou w ill b e c harged t he f ull a mount o f t he s cheduled a ppointment.

No -‐ S hows

If y ou f orget o r c hoose t o f orgo y our a ppointment, y ou w ill b e c harged i n f ull f or y our m issed

appointment.

Late A

rrivals

If y ou a rrive l ate, y our s ession w ill b e s hortened i n o rder t o a ccommodate o thers w hose

appointments f ollow y ours. Y our t herapist / i nstructor, d ue t o t he d emands o f t he s chedule, c annot

go o ver y our s cheduled a ppointment t ime. D epending u pon h ow l ate y ou a rrive, y our t herapist

/instructor w ill t hen d etermine i f t here i s e nough t ime r emaining t o s tart. R egardless o f t he l ength o f

treatment a ctually g iven, y ou w ill b e r esponsible f or t he f ull a mount o f t he s cheduled s ession. O ut o f

respect a nd c onsideration t o y our t herapist a nd o ther c lients, p lease p lan a ccordingly a nd a rrive e arly

for y our a

ppointment.

Return a nd R efund P olicy f or M emberships

All m emberships a nd p ackages a re n on r efundable a nd n on t ransferable.

We t hank y ou f or y our c onsideration a s w e c ontinue t o o ffer t he h ighest l evel o f c lient c are.

Form B ody L ab T eam

I h ave r ead a nd u nderstood F orm B ody L ab’s

Cancellation P olicies D ate:

Signed:

Print N ame:

Client Intake Form Page 4