Terms of Service

This website is operated and updated by Chezka Rodriguez, Doing Business As (DBA) Story and Depth Massage Therapy (“I”, “me”, “we”, “us”, or “our”) through Squarespace. These “Terms of Service” describe how Story and Depth Massage Therapy (“I”, “me”, “we”, “us”, or “our”) conducts services. This “Terms of Service” page defines visitors (“you” and “your”) as the individual(s)/patient(s) booking an appointment at Story and Depth Massage Therapy.

By booking an appointment and/or visiting our website, you are agreeing to our terms as outlined on this page. Kindly, please do not book an appointment and/or interact with our website if you do not agree with the terms outlined. The Terms of Service may be subject to change and the Site shall be updated promptly, including the date of the latest update.

Copyright Laws

The original content on our Site is protected by copyright laws. This original content cannot be used for commercial purposes by others. If you see our original content used outside of our services and business, please report it through the contact information provided below. The original content of this website is governed by Canada’s copyright laws. Original content includes:

  • Text

  • Media

  • Design

Initial Appointment Procedures

  • After booking, please complete the intake form prior to your appointment. This form will be sent to your email and is required for all initial appointments.

  • Once you arrive to your appointment I will meet you outside on Station Ave to guide you to the clinic.

  • We will begin your appointment go over your health history and treatment goals. Afterwards, we will proceed with assessment and treatment. Lastly, we will reassess after treatment and go over home care instructions.
    → You will be required to sign an informed consent form before treatment begins; as well as, signing a direct billing consent form if applicable.

Please let me know any way that I can support you during your appointment, I am more than happy to help. You have the right to withdraw consent and end treatment at any time.

Policies

Purpose: To ensure transparency and informed consent; as well as, to create a respectful and safe environment for the patient(s) and Registered Massage Therapist (RMT).

The following text within the dashed lines below is a copy of the “Informed Consent Form” that a patient is required to sign at their initial appointment before treatment can be provided.

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TREATMENT DETAILS

Purpose of Treatment

In order for your massage therapist to provide safe and effective treatments, massage therapy appointments involve a health history interview, assessment, treatment, reassessment, and home care (as necessary). Massage therapy focuses on the treatment of soft tissues and joints, and is delivered for the management of physical function, pain relief, and health promotion. Treatment plans will be formulated with your goals and expectations in mind, within the massage therapist’s scope of practice. It is my responsibility, as the patient, to keep my massage therapist updated on my medical history, and that the information I provide is true and complete to the best of my knowledge. I understand that the therapist is not a physician and does not diagnose illness or diseases or any other physical or mental disorder. I understand that massage therapy is not a substitute for a medical examination.

Benefits and Risks of Treatment

The benefits of massage therapy cannot be guaranteed. Possible tenderness or symptom aggravation may occur temporarily (approximately 1-2 days post-treatment) as the RMT will be treating affected areas. If negative symptoms continue for an extended period of time, please contact your RMT to make the appropriate adjustments to your treatment approach. If your condition requires immediate medical attention, please call 911 or head to the nearest emergency room.

PRACTICE POLICIES

The Personal Information Protection Act (PIPA)

The contents of this form and my patient records will be kept confidential (required by PIPA) unless I have expressed or written consent to the release of my information or where there is a legal requirement to provide my information to a third party. I consent to the collection, use, and disclosure of my personal information in accordance with the Personal Information Protection Act (PIPA). I understand that I have the right to access and receive a copy of my patient records.

Payment Policy

Story and Depth Massage Therapy requires that you put a card on file. The card will only be charged as per the cancellation, no show, and late arrival policies; as well as, if contactless payment is the patient’s preference. This helps keep both you and us safe, and allows for more time to spend with you rather than processing a payment after your session.

  • Payments are processed after massage therapy services are provided. Appointment prices listed include GST (5%).

Cancellation Policy:

A late cancellation is a cancellation made less than 24 hours before the appointment start time. Late cancellations are subject to a “Late Cancellation Fee” equal to 50% of the booked appointment rate, to which the card on file will be charged. Please contact me directly using the contact information listed below as the booking site will not allow cancellations within 24 hours.

  • Please note: This fee will be waived if you are sick, have an emergency, or when there are unsafe weather conditions for your travels; please contact me prior to your appointment to prevent the “Late Cancellation Fee” or “No Show Fee” from being charged to the card on file. Insurance will not cover/reimburse any late cancellation fees.

No Show Policy:

A no show is a missed appointment where the patient does not arrive at least 30 minutes before the appointment ends. Since a proper appointment time has passed and can no longer be booked by other patients, the appointment is considered a no show and will be cancelled. No shows are subject to the “No Show Fee” equal to 100% of the booked appointment rate. The card on file will be charged at the appointment end time.

  • Please note: Insurance will not cover/reimburse missed appointments.

Late Arrival Policy:

A late arrival is when a patient arrives with at least 30 minutes of appointment time remaining. Both the rate and end time of the original booked appointment will still apply. If there is less than 30 minutes of appointment time remaining, it will be cancelled and the “No Show Policy” will apply.

  • Please note: Insurance can only cover the time treated and the patient will be responsible for covering the remaining balance of the original booked appointment (this is a separate “Late Arrival Fee” that is non-billable to insurance).

Direct Billing Policy

Direct billing is a courtesy service. In order to allow your massage therapist to submit a claim on your behalf, you will be required to read and sign a direct billing consent form at your appointment.

  • For private extended health insurance policies: If the insurer portals are down or claims are not/cannot be processed, the patient is responsible for the appointment fee. You may then submit the provided appointment receipt directly to your insurer for reimbursement.

Use of Electronic Devices

I acknowledge that my massage therapist uses an electronic device strictly for charting purposes (intake, assessment, treatment, reassessment, home care), music, and patient education (for example, home care instruction). I understand that this device will be put away when not in use for the above purposes, with the camera turned off at all times. I understand that I have the right to ask for no music to be played. I consent to the use of the electronic device strictly for the purposes outlined above.

INFORMED CONSENT TO TREATMENT

By signing this document below, I am agreeing to the following statements. I am providing voluntary consent for massage therapy treatment. I have discussed with my massage therapist the processes of health history taking, assessment, treatment planning and manual treatment, the potential benefits and risks of massage therapy, draping and disrobing options, reassessment, and home care assignment. I have also discussed and agree to the policies outlined above. During treatment, only the area(s) being treated at that time will be uncovered and the rest of the body will be draped (covered) at all times. My RMT will only treat the areas I have consented to. I was given the time to ask any questions and have received clear answers from my massage therapist. My RMT has also offered to provide me a copy of my informed consent form. I understand that I have the right to make my own decisions about my health care. My therapist will however, provide input regarding my treatment and my treatment plan to provide shared decision making based on my best interests. All decisions about my health care is ultimately my choice. The therapist has the right to terminate the treatment(s) if the therapeutic relationship cannot be continued. If the treatment is no longer within the scope of my RMT, a referral to another health care professional can be provided. If at any time during the treatment I feel uncomfortable for any reasons, I have the right to request an immediate stop to the appointment or request modifications to the treatment, regardless of prior consent given. I am aware that I am entitled to ask questions about my treatment; as well as, modify or end the treatment at any time. I also accept that I have a responsibility to verbalize to my therapist if I am uncomfortable or in the event that I would like to revoke consent.

CHEZKA’S CONTACT INFORMATION

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Contact

If you have any questions or concerns about the “Terms of Service”, please feel free to contact us at:

Chezka’s Contact Information
Email: chezkarmt@gmail.com
Phone: 778-402-8559

Last Updated: September 18, 2026.