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Complementary & Alternative Health Care Client Bill
of Rights
Practitioner Name: Julie Mueller
Business Name: Mueller Orthopedic and Medical Massage LLC
Blooma Wellness and Bodywork
Business Address: 3921 Garfield Ave South, Minneapolis,
MN 55404
Telephone number: 612-205-4453
As of July 1, 2001, Minnesota’s Freedom of Access to
Complementary Care Law (Statute Chapter 146A) requires that you receive and
acknowledge that you have received by your signature on the back of this page,
the following information prior to your treatment.
Julie
Mueller, hereafter, “the Practitioner” has the received following education,
training & credentials:
BA, NCTMB, MetroIBA, ACE certified, references on request
Prenatal/postpartum
Massage: 25 hours, Upledger Craniosacral
Therapy 1/2/SER1, Reflexology:
25 hours, Centerpoint
Massage and Shiatsu Therapy School
684 hour certification in Therapeutic Massage, 8/07, Certified
Pilates instructor: Choreogram Dance Studio, 1975, BA in Liberal Studies, College of
St. Benedict, St Joseph, MN
THE
STATE OF MINNESOTA HAS NOT ADOPTED ANY EDUCATIONAL AND TRAINING STANDARDS FOR
UNLICENSED COMPLEMENTARY AND ALTERNATIVE HEALTH CARE PRACTITIONERS. THIS
STATEMENT OF CREDENTIALS IS FOR INFORMATION PURPOSES ONLY. Under Minnesota law, an unlicensed
complementary and alternative health care practitioner may not provide a
medical diagnosis or recommend discontinuance of medically prescribed
treatments. If a client desires a diagnosis from a licensed physician,
chiropractor, or acupuncture practitioner, or services from a physician, chiropractor,
nurse, osteopath, physical therapist, dietitian, nutritionist, acupuncture
practitioner, athletic trainer, or any other type of health care provider, the
client may seek such services at any time.
Complaints: If the Client has a complaint or
concern about the care or services they have received, the Client may also
contact the Office of Unlicensed Complementary and Alternative Health Care
Practice located in Minnesota Department of Health:
Mailing address: P.O. Box 64882, St. Paul, MN 55164-0882
Phone: 651-201-3728 Fax: 651-201-3839
Website:
"http://www.health.state.mn.us"
Fees, Payment, Insurance: $80/85 one hour,
110/120 for 90 minutes,
24 hours notice for cancellation of appointments
Change
of Price: Clients
have the right to reasonable notice of changes to the prices, services, or
policies.
Theory
of Treatment: The
state requires a “Plain language” summary of the “theoretical approach used to
provide service to clients”. The Practitioner uses Swedish massage,
rehabilitative/trigger point therapy, myofascial release, and range-of-motion
mobilization techniques to help clients reduce pain and improve range of motion
and mobility.
Right
to Current Information: Clients have the right to complete and current information concerning
the practitioner's assessment and recommended service that is to be provided,
including the expected duration of the service to be provided.
Right
to Confidentiality:
Client records are confidential and will not be released, unless authorized by
the client in writing or as otherwise provided for by law.
Right
to Self Access:
Clients have the right to access to their own records maintained by the
Practitioner’s office, in accordance with state statute sections
"https://www.revisor.leg.state.mn.us/statutes?id=144.291" 144.291 to 144.298;
Personal
Interaction:
Clients have the right to expect courteous treatment, free from verbal,
physical, or sexual abuse.
Other
Treatment Available:
Other massage therapy services are available to the Client in this same
community. These can be located by
asking the Practitioner, the provider who referred you to this practitioner or
the following practitioner database: www.amtamassage.org
Right
of Agency: The
Client has the right to choose freely among available practitioners and to
change practitioners after services have begun, within the limits of health
insurance, medical assistance, or other health programs.
Records
Transfer: The
Client have the right to coordinated transfer of your records when there will
be a change in the provider of services.
Right
of Refusal: The
Client may refuse services or treatment, unless otherwise provided by law.
Right
of Nonretribution:
The Client has the right to assert the any and all of above-mentioned rights
without retaliation from the Practitioner.
