Terms & Privacy Policy

TOS & Client Waiver

Please take a moment to read and initial the following information:

  • I understand that clinical massage therapy is a goal-oriented treatment intended to address specific physical conditions. Manual soft-tissue manipulation to release muscular knots, adhesion, fascia restriction, and scar tissue resulting from injury, pathology, and lifestyle. To decrease pain, increase range of motion, reduce swelling, and improve circulation.
  • I acknowledge that treatment may involve therapeutic tools and instruments (e.g., scraping tools, cups, or percussion massagers) to assist in soft tissue mobilization.
  • I acknowledge that targeted clinical work and the use of tools has inherent risks such as temporary localized soreness, bruising, skin redness, etc.
  • I agree to provide immediate feedback regarding pressure and technique so that the practitioner may adjust the treatment to my comfort level and tolerance.
  • I understand that lymphatic treatment (if applicable) may result in detox symptoms including; nausea, diarrhea, sweating, fatigue or brain fog, and/or increased urination, low-grade body aches, etc. potentially lasting 24-48hrs.
  • I agree to notify my practitioner and seek medical attention if I experience fever, chills, spreading redness, severe or rapidly worsening swelling or pain, shortness of breath or chest pain, persistent vomiting, diarrhea, or severe dizziness within 48hrs of receiving treatment.
  • I understand that my therapist is not qualified to perform spinal or skeletal adjustments, diagnose, prescribe medications, or treat physical or mental illness.
  • I agree to provide accurate location information and to notify the therapist promptly of any changes in the location or timing of my appointment. (for mobile sessions)
  • I understand that if I am not at the address provided at the time of my appointment then I will be counted as a 'no-show'.
  • I understand that "no-shows" or late cancellations (less than 24 hours) may not be covered by insurance and remain my responsibility. I understand that the assessment of fees related to no-shows, up to 100% the cost of my visit, are at the sole-discretion of the practitioner.
  • I affirm that I will notify my practitioner of all known medical conditions, surgeries, and injuries.
  • I affirm that I will continue to notify my practitioner of any and all changes to my health and medical condition while in their care.
  • I understand that my practitioner will not be responsible for complications arising from non-disclosure of known contraindications or health conditions.
  • I understand that massage is entirely therapeutic and non-sexual in nature.
  • I agree to inform the practitioner immediately if I experience abnormal pain, nausea, cramping, darkened or blurry vision, difficulty breathing, lightheadedness, or any other unusual symptom.
  • I agree to inform the practitioner immediately if I feel uncomfortable in any way or if any part of the session seems inappropriate to me.
  • By signing this waiver, I hereby release Adam Suarez and Healing Hands Massage Therapy - AdamLMT.com from liability regarding the inherent risks of this treatment, provided it is rendered within the professional standard of care and void of malpractice or negligence.

Notice of Privacy Practices

Here at AdamLMT.com, we are committed to protecting the privacy, confidentiality, and security of your personal and health information. Because our clinical massage therapy services often involve sensitive health history and treatment plans, we adhere to strict standards of client confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state laws.

1. What Information We Collect

To provide safe and effective clinical care, we collect personal and health information, including:

  • Contact & Identifying Information: Name, address, phone number, emergency contact, and email.

  • Health & Medical History: Surgical history, injuries, chronic conditions, current medications, pain scale ratings, and physician referrals.

  • Clinical Records: Intake forms, SOAP notes (subjective/objective evaluations, assessment, and plan), treatment outcomes, and progress notes.

  • Billing & Payment Details: Payment records, receipt details, and relevant insurance information (if applicable).

2. How We Use and Disclose Your Health Information

Under HIPAA, we are permitted to use and disclose your Protected Health Information (PHI) without explicit separate written authorization only for the following reasons:

  • Treatment: Sharing necessary information to evaluate, plan, and deliver appropriate clinical massage therapy treatments.

  • Healthcare Operations: Conducting internal practice audits, quality evaluations, and administrative management to maintain high standards of care.

  • Billing & Payment: Processing payments, issuing receipts/superbills, or communicating with third-party billing processors or insurance entities if you seek reimbursement.

Disclosures Requiring Your Written Authorization

We will never sell, rent, or use your health information or contact details for third-party marketing, public testimonials, or non-treatment purposes without your explicit, written consent.

Required Disclosures by Law

We may disclose PHI without your authorization only when mandated by law, such as:

  • In response to a court order, subpoena, or legal proceeding.

  • To report suspected child, elder, or vulnerable adult abuse/neglect.

  • To prevent a serious, imminent threat to your health or safety, or the safety of others.

3. Safeguarding Your Data

We maintain physical, technical, and administrative safeguards to protect your records:

  • Electronic Records: Digital client files, online scheduling tools, and SOAP notes are stored using HIPAA-compliant, encrypted software platforms secured by Business Associate Agreements (BAAs).

  • Physical Records: Any paper files, intake forms, or physical intake charts are stored in locked cabinets within restricted, secure areas.

  • Communication: We limit the inclusion of sensitive health details in unencrypted text messages or emails.

4. Your Rights Under HIPAA

As a client of our clinical practice, you have the following rights regarding your health information:

  • Right to Access & Copy: You may request to inspect or receive a copy of your health records, including SOAP notes and treatment history.

  • Right to Request Amendments: If you believe information in your record is incorrect or incomplete, you may submit a written request to amend it.

  • Right to Request Restrictions: You may ask us to restrict how we use or share your PHI for treatment, payment, or clinic operations (we will honor reasonable requests where feasible).

  • Right to Confidential Communications: You can ask us to contact you in a specific way (e.g., calling a specific phone number or mailing to a preferred address).

  • Right to an Accounting of Disclosures: You may request a record of instances in which we shared your PHI for reasons other than routine treatment, payment, or operations.

5. Questions and Complaints

If you have questions about this privacy policy, wish to exercise any of your rights, or believe your privacy rights have been violated, please contact us directly:

Adam Suarez

Healing Hands Massage Therapy - AdamLMT.com

(321) 522-1485 | info@adamlmt.com

You also have the right to file a formal complaint with the U.S. Department of Health and Human Services (HHS) Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, or visiting www.hhs.gov/ocr. We will not retaliate against you for filing a complaint.