Helene Baradat-Thompson, LMP

Rejuva

3804 170th Ave SE

Bellevue, Washington 98008

206-818-2153

 

 

Welcome! I look forward to working with you. To simplify the beginning of our work together, I want to answer the most frequently asked questions for you.

 

Location: The office is located in the Mercer Canal Building on 114th Ave SE Suite 105 is on the first floor.

 

Parking:   There is a free parking for all patients. Look for the 2 hour maximum parking only signs, these are often open. Parking under the building itself is reserved and you may get towed if you do so.

 

 

Appointments and Fee Information: 

For your appointment, I set aside 50 minutes, including a discussion of your medical history/progress. The fee is $75.00 per session at the time of service. My medical massage rates are based on an analysis of both usual, customary, and reasonable (UCR) charges for the Seattle area and of RVU (relative value unit) pricing. I will bill your insurance company at the current rates of:

·        $30 per 15-minute unit for CPT code 97124 (massage),

·        $35 for 97140 (manual therapy techniques),

·        $30 for 97110 (therapeutic exercise),

·        $15 for 97010 (hot and cold pack application). 

 Copies of medical records are available (with consent of the patient) for 91 cents per page for the first 30 pages, 69 cents per page for additional pages, and a $21 handling fee. (See the amended Washington State Register and RCW 70.02.010 (12) for more information on these fees.)

You are responsible for paying all fees. I accept cash and checks.

 

 

Cancellation and Lateness Policies:

Your appointment time is reserved exclusively for you. If you are unable to keep your appointment for any reason, telephone the office at least 30 hours in advance to cancel the appointment. Otherwise, I will have to charge you in full for the time that you have reserved.

 

If you are 20 or more minutes late, your appointment will be cancelled and you will be charged for the appointment.

 

 

 

Client Acknowledgment:

I have read the preceding disclosure information and have been given the opportunity to ask questions clarifying its contents. I understand that I am financially responsible for all charges and agree to pay for services. I understand the contents of this disclosure and agree to abide by these policies.

 

 

 

Client:  ________________________________________  Date: _________________