60 minute session: $90
Longer sessions are available on request.
Payment is expected at the time of treatment. Cash, check, and credit cards
(Visa, Mastercard, American Express, Discover), and Health Savings Account (HSA) cards are all
Please give at least 24 hours notice if you wish to cancel your
appointment. Other patients may be waiting for an appointment. There will be a $25 charge for
appointments cancelled with less than 24 hours notice.
In order to provide quality one-on-one care for the entire treatment
session Restrictions Released Myofascial Therapy is not an in-network insurance provider. If your
insurance is a Preferred Provider Organization (PPO) you may be able to receive some reimbursement
from your insurance provider, however if you have a Health Maintenance Organization (HMO) you
would not be able to submit for reimbursement. If you have a PPO we recommend you contact your
insurance company to determine the specific details of your plan for seeing an Out-of-Network
Physical Therapist. Some plans many require you meet an out-of-network deductible and only
reimburse a percentage of the cost. If you do have out-of-network coverage you would pay for the
full cost of the session at the time of service and then you would receive a bill from
Restrictions Released Myofascial Therapy to submit to your insurance company for reimbursement. We
can discuss this further during your first visit if you plan to seek reimbursement from your
An FSA is a financial account that can be set up through a cafeteria plan
of an employer, where the employee can designate pre-tax dollars to be put towards medical
expenses. If you would like to submit a receipt to your FSA please request a bill for
- Completed intake forms
Download the forms above. If you are unable to complete new patient forms
in advance please arrive 10 minutes prior to your scheduled appointment to complete them in
- What to wear
The nature of fascial restrictions is a whole body problem so we treat whole body. In order to
fully assess posture and treat all of the areas of fascial restriction it is important to have
much of the body exposed. Men please wear or bring gym shorts. Women please bring gym shorts
and regular bra or tank top.
- What not to wear
Please do not wear any body lotion the day of your session. In order to receive the most
benefit from the therapy your skin must be clean and dry to allow the therapist to properly
access your fascial system.
- Camera/camera phone
Some patients like to take before and after pictures of their posture to document their
progress. Some patients also like to have photos or videos of themselves performing the self
treatment exercises as a reminder on how to properly do them when at home.
Your first appointment will consist of a Physical Therapy evaluation which
will take approximately 30 minutes and the remaining time will be hands-on treatment. Once it is
determined where your fascial restrictions are, you will be instructed on some self treatment
exercises. Patients will be given small balls to assist them in releasing the fascia at home. Self
treatment is a very important part of the treatment plan. It is also important to drink plenty of
water after your session, this will help the releases to last longer.
Under Massachusetts state law Physical Therapists are granted direct
access. You do not need a prescription from a doctor to see a physical therapist. However your
insurance company may require a prescription if you plan to submit a bill for reimbursement.