What do you do consultation wise when you have a new client on medication?

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hellishbellish

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Hi geeks,

I'm posting this as I'm really after some advice on what you do in a situation I have found myself in.

I had a new client in the other day for a massage, however during a consultation I found out she was on prescribed medication. I told her that basically due to insurance I would need a doctor's note to do that treatment but offered her a mani or pedi instead. She huffed at that but said she understood about the doctor's note and was fine getting one, telling me that she respected me for being professional.

I got a call from her later on in the day with her having a rant at me. Basically she had been to her doctor, who had said she had never been asked for anything like this, practically laughed at her and me for asking, said she really didn't see any issue with her having treatments and that if she insisted on a letter, she would have to pay £30. The woman said she wouldn't be paying that (which I understand, it's a lot of money), however I contacted my insurance because she had made me quite down and wondering whether I had done the right thing. Turns out I had, but I got down as in my town most (ie all except one that I can think of) salons etc don't even do consultations, patch tests etc. I try to provide a whole service, where I talk to the client about what they want from treatment etc and also give them aftercare advice at the end for them to read and take away.

As most places near me don't do consultations, and therefore are unaware if anyone is on medication, how do they get away with this? For example what if they gave a heated massage to a client with high blood pressure?! I am wondering if I am the only one that does this whole thing, or is it just the bad practice in my area. I guess what I am saying is, if this client had gone anywhere else she would have just been treated, bam. But with me I made sure I wasn't going to harm her etc, and seem to have lost out. I have been reassured my insurance I am completely right in what I've done, but why do I feel like the one that has lost out? I have just lost a customer and some other salon that doesn't go by the book has just gained one :(

My insurer's have suggested that I perhaps offer the client a voucher of the £30 redeemable against treatments, however the treatment she was after was £35. What if I did this, she pays £5 and is never to be seen again? I don't know what to do. I don't want to lose potential clients for going about things the right way. Does anyone have any ideas? What do you do yourselves?

I'm sorry this is a long post, I work by myself and so when something like this happens I have no one to bounce off and just mull over.

Thankyou VERY much to anyone that replies.
 
Oh dear!

What medication was she on that prevented her treatment?

The insurers go too far sometimes if even the doctor laughed about it!!

Jacqui xx
 
Thanks for replying Jacqui, it's really kind.

She had had cancer twice, and was on aspirin and betablockers to treat atrial fibrillation.

Can I ask what you would have done?
 
I would be inclined to do the same as you, its just not ethical to make the assumption that it is ok to go ahead given the issue presented to you.

I would definately not refund a client the £30.00 by deducting it from the treatment cost.

I have just posted on another thread about this same issue with doctors notes!! It's becoming a real problem for therapists.

I wonder if the Insurer would send you a template approved by them which prospective clients could take to their doctors to get signed?

Its a serious predicament isn't it?

I'm really sorry though that you have lost a potential client because you were being professional. And because the doctor wanted to charge your client £30.00. And because the insurer wanted you to suck it up.

It all sucks!!!

Big hugs for you my lovely.

Jacqui xx
 
Awh thankyou, you're so nice!

I will email the insurer's about that tomorrow actually, that's a good idea about the templates.

My Dad has suggested that I swallow the cost of the treatments over say a course. The client wanted lava shell massage and so he has suggested I offer her £10 off over 3 sessions so she doesn't feel hard done by on the letter front. What do you think to this idea?
 
That is a better idea, you won't feel the loss quite so much and the client should be happy to accept this.

I like to think that if she's had a little bit of time to ponder on what's happened she would have a confidence in you due to your professionalism and integrity with regard to her health.

I don't know how your last conversation with her ended but maybe you could send her a nice card explaining your proposal re the £30.00 and also explain what could potentially happen to her if you went ahead with the treatment without her doctor's approval.

Keep it brief and to the point but with a lovely tone.

Good luck my lovely and if she doesn't return that's ok but she will be left with a lovely impression of a professional and thoughtful therapist and she will spread the word!!

Jacqui xx
 
That is a better idea, you won't feel the loss quite so much and the client should be happy to accept this.

I like to think that if she's had a little bit of time to ponder on what's happened she would have a confidence in you due to your professionalism and integrity with regard to her health.

I don't know how your last conversation with her ended but maybe you could send her a nice card explaining your proposal re the £30.00 and also explain what could potentially happen to her if you went ahead with the treatment without her doctor's approval.

Keep it brief and to the point but with a lovely tone.

Good luck my lovely and if she doesn't return that's ok but she will be left with a lovely impression of a professional and thoughtful therapist and she will spread the word!!

Jacqui xx

I know I keep saying this but thankyou! It's really nice of you to help me out and give me your opinion.

The conversation ended with me saying I would check with the insurer's regarding the letter, and that I would get back to her. Unfortunately I only have her number, so I'm going to have to do it over the phone, but I will do like you say.

Thanks again! Many karma points coming your way :)
 
I was taught ever having cancer is a total contra-indication to massage am I wrong? X
 
You did the right thing! Well done for sticking to your guns and insisting on a doctors note! And not just grabbed the cash ......you sound like a therapist who really cares about her clients

It has been scientifically proven that massage has a great impact on a persons health and functions if the body, both in a posative and negative way! And its our jobs to educate people about it (including gp's)
If everyone demanded a doctors note for those who required it it would be completely normal and would not cause such.a fuss!

How about when you have a template made to give the doctor viable medical reasons why massage has benefical effects to there patients! If you would be able to give me a few days (my laptop is currently being fixed) I have a template I use to send out which you are more than welcome to use - it has scientific evidence ( which gp's love lol) for massage, and I have changed the view of a few of those in the medical proffession!

As you.might be able to tell I have been trying to prove for years how massage can influence health, and hopefully slowly I'm getting there! Lol

Sent from my HTC Desire S using SalonGeek
 
I was taught ever having cancer is a total contra-indication to massage am I wrong? X

She is fully in remission, I think judging by the doctor's reaction and what I know of, it is only a contra if they have cancer at that time, are having treatment for it, or are in the early stages of remission.
 
No advice here hun but well done you. your professionalism shines through. doctors do truly annoy me with this.... she laughed yet what I think is so laughable is that SHE thinks its ok to charge £30 for a letter. my mil worked in a doctors surgery and its the admin that type the letters up and get the gp to sign. i had a doc that dictated the letter into a dictaphone in front of me, as fews years back my employer wanted written confirmation i was fit to work due to my OCD, he was so pleased I was going back to work and thought it was a great thing for my health that he told me he wasnt even going to charge me, so there you have it they can do it for free if it benefits someone, so in your ladies case you think the good you could have done for that client with your massage. id also much rather a therapise er on the side of caution than to potentially risk someone health. yes i understand it takes time for the surgery to do the letter but seriously 30 quid... ok sorry doctor letter rant over lol!

you sound like a true professional hun and please dont feel down youve nothing to feel bad about.

sending love n hugs your way xxxx
 
You did the right thing! Well done for sticking to your guns and insisting on a doctors note! And not just grabbed the cash ......you sound like a therapist who really cares about her clients

It has been scientifically proven that massage has a great impact on a persons health and functions if the body, both in a posative and negative way! And its our jobs to educate people about it (including gp's)
If everyone demanded a doctors note for those who required it it would be completely normal and would not cause such.a fuss!

How about when you have a template made to give the doctor viable medical reasons why massage has benefical effects to there patients! If you would be able to give me a few days (my laptop is currently being fixed) I have a template I use to send out which you are more than welcome to use - it has scientific evidence ( which gp's love lol) for massage, and I have changed the view of a few of those in the medical proffession!

As you.might be able to tell I have been trying to prove for years how massage can influence health, and hopefully slowly I'm getting there! Lol

Sent from my HTC Desire S using SalonGeek

Thanks so much for your reply! You guys have made me feel so much better, I swear this forum is amazing!

Thanks a lot for offering to send me your template, I'd really appreciate that. What do you generally do? Print it off and give a client to give to their doctor?
 
Yes I just give them a copy to give the gp, its up to them then to do it. Make sure you have all your details incase the gp needs to phone or email etc!

It really annoys me when clients try an shrug off medication, illness etc when doing consultations, so I do spend time educating them! And they always say 'well I went to xxxxx and they did it' arrrgh feel Like shouting ...so what go there then lol!

I love this site too! I'm on here more than Facebook lol!

As soon as I get my.laptop back I will send you a copy x x

Sent from my HTC Desire S using SalonGeek
 
It's very, very hard when you work on your own and you KNOW other places will not consult and just carry out the treatment anyway.
I'm in the same boat and educate my clients why i am taking such a detailed consultation and they really appreciate it. it has meant that i have lost out on treatments due to the doctor's letter issue but there you go.

I would say though with regards to lava shell massage that you can always phone Alison at shared beauty secrets for advice. I did recently when I was concerned about treating a client and she was fab, called me back really quickly and had a proper chat about it.

Love the template idea too!
 
Yes I just give them a copy to give the gp, its up to them then to do it. Make sure you have all your details incase the gp needs to phone or email etc!

It really annoys me when clients try an shrug off medication, illness etc when doing consultations, so I do spend time educating them! And they always say 'well I went to xxxxx and they did it' arrrgh feel Like shouting ...so what go there then lol!

I love this site too! I'm on here more than Facebook lol!

As soon as I get my.laptop back I will send you a copy x x

Sent from my HTC Desire S using SalonGeek

Have you found doctors do contact you? What do they generally ask information about? Have you had the issue with doctors wanting money for the note? What have you done re clients who won't pay it? Sorry for the bombarding questions lol.

I know, when I do consultations in general and get people to do forms they sometimes complain and say well so and so down the road doesn't make me do this! My thinking is to make them think about why the other places don't do this, do they care, are they professional etc. I believe clients need a little bit of re-educating to see that we're being professional and that salon down the road is not being! Rant over!

Thanks again for sending me the gp form. Would you like me to pm you my email?
 
She is fully in remission, I think judging by the doctor's reaction and what I know of, it is only a contra if they have cancer at that time, are having treatment for it, or are in the early stages of remission.

Oh there was a girl on my course who had it 4 years ago and we couldn't do any massage when we did mani/pedi or facials. I am I right in thinking you are in remission after 5 years of it not returning?

Sorry to be a pain but this is new info to me and like you said the doctor didn't seem to see a problem, so I want to make sure I don't turn away clients unnecessarily.

Thanks xx
 
It's very, very hard when you work on your own and you KNOW other places will not consult and just carry out the treatment anyway.
I'm in the same boat and educate my clients why i am taking such a detailed consultation and they really appreciate it. it has meant that i have lost out on treatments due to the doctor's letter issue but there you go.

I would say though with regards to lava shell massage that you can always phone Alison at shared beauty secrets for advice. I did recently when I was concerned about treating a client and she was fab, called me back really quickly and had a proper chat about it.

Love the template idea too!

You know I never even thought to contact them! Thanks though, and good to hear that other places do consultations etc!

You have no idea how happy I now am now I know I'm not alone in what I do! Yey! Haha I know it's sad! :D
 
There's always someone on this site willing to help!!

Jacqui xx
 
Have you found doctors do contact you? What do they generally ask information about? Have you had the issue with doctors wanting money for the note? What have you done re clients who won't pay it? Sorry for the bombarding questions lol.

I know, when I do consultations in general and get people to do forms they sometimes complain and say well so and so down the road doesn't make me do this! My thinking is to make them think about why the other places don't do this, do they care, are they professional etc. I believe clients need a little bit of re-educating to see that we're being professional and that salon down the road is not being! Rant over!

Thanks again for sending me the gp form. Would you like me to pm you my email?

I have only had one contact me, and it worked out well as I work on a regular basis with her, others have always obliged! I don't think any of the clients have had to pay as they have never mentioned it???? Will have to ask them!

If client don't want to pay or have the hassle then they don't get a treatment done! Well by me anyway (and they are missing out coz I'm good lol).

If a new client books in I have a chat on the phone with them and I explian that some treatments can be contra indicated and do they have any health problems etc. This gives them a bit of advanced warning, I also write this on my leaflets. And allow extra time for a first treatment to do an indepth consult. I think if they ate forwarned they are not bothered! And also if you know in advance of a possible concern it gives you chance to go on here and ask someone! Lol!

Just keep being as you are and it will pay off as clients will stick with you ..... Hope this helps

And yes pm your email x x

Sent from my HTC Desire S using SalonGeek
 
Oh there was a girl on my course who had it 4 years ago and we couldn't do any massage when we did mani/pedi or facials. I am I right in thinking you are in remission after 5 years of it not returning?

Sorry to be a pain but this is new info to me and like you said the doctor didn't seem to see a problem, so I want to make sure I don't turn away clients unnecessarily.

Thanks xx

Yes remission is 5 yrs. The girl in your class was possibly on medication etc and the college would have been airing very much on the aide of caution.

The doctor in particluar may well not understand the implications of massage in someone with illness/ medication as no more than a beauty treatment. So in his opinion it was not a big deal. I think that is why it is important to inform them, by means if letter etc.
So hopefully they will have a better informed choice x x


Sent from my HTC Desire S using SalonGeek
 

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