Counseling INTAKE FORM & POLICIES

By completing the intake below you agree our office policy stated in the Intake Form/Policies page and below. When you have completed  your intake please call us at 610-565-6627 to review the information. We are happy to schedule you once this is completed. Please do not skip any questions as you will need to start all over again. This is the basic information needed to schedule your service.

Please check your email for additional paperwork required for your appointment.

 We will  need a Credit card or Debit card to schedule you. 

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Counseling/Coaching Intake
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OFFICE POLICY

Release

By completing this intake and scheduling with Serenity Wellness LLC you agree that you have read and agree to abide by the following terms and conditions of all services at Serenity Wellness LLC DBA Serenity Wellness Center, Serenity Massage & Spa, Serenity Counseling & Wellness: If any part of this waiver shall be held invalid, the balance shall not withstanding continue in full legal force and effect. I understand by scheduling that I agree to these policies for this and all future services at Serenity Wellness LLC.












Please Read detailed policies below.

Cancellation

We require a 48-hour notice for all cancellations and rescheduling. Please call 610-565-6627 to cancel/reschedule all appointments. Please leave a message if after hours or if we are busy helping other clients.


Cancellations less than 48 hours before your appointment or No shows will be charged 100% of the full-service charge as we do not have time to schedule another client in your place. We are Happy to do your session by phone if you are unable to come in to the office for your scheduled appointment.


We take COVID-19 Precautions very seriously. WE CAN NOT SEE YOU If you are icky sneezy, coughy, weezy, if you've been exposed or think you may have been exposed. If less than 48 hours before your appointment you may gift your appointment slot to another person to avoid the cancellation charge or do your session by phone.  We can not have additional people in our waiting room so your friends/family etc will have to wait outside during your appointment.

If for any reason we cannot charge your card, gift certificate clients will forfeit their gift certificate.

We recommend you have a sitter in place in case your child is sick as we cannot reschedule due to the child home from school. We also cannot reschedule when you are called into work. We are happy to reschedule when you give us 48 hours cancellation notice.

On rare occasions we may wave the fee, however, this is on a case by case basis. We must be strict with our policy as we have reserved this time just for you and cannot fill the slot without proper notice. Our time is valuable please respect us by giving time to fill your appointment slot. 

Scope of Practice: 

We specialize in couples and individual counseling and coaching needs.  We do not specialize in drug or alcohol issues, nor do we work with clients who suffer from DID, schizophrenia, BPD, or acute PTSD. Nor do we work with clients who are actively suicidal, engage in self mutilation or dissociate.  We do have other professionals we can refer to who specialize with these needs. 

Weather Emergencies

In case of a snow emergency, tornados, power outages, etc., the facility will be closed for our safety and yours. No fee will be charged in dangerous conditions. We post our closings on our Facebook site, Serenity Wellness Center. 

Lateness

If you are late, you may not be able to receive my full appointment time. However, you will still be charged for the scheduled service in full. 

Testimonials

If you chose to give a written or video testimonial or review, we reserve the right to use that testimonial /review in advertisement and or marketing.

Refunds

No refunds on gift certificate purchases, product purchases, or appointments scheduled and not canceled within standard 48 hours cancellation notice.

Children and pets

Registered Service dogs are always welcome but we cannot have you bring your other non-service pets. Unfortunately, we cannot accommodate small children, infants, toddlers, etc. For their safety and the comfort of other guests receiving treatments, please arrange for a sitter at home.

Parking & Location

We are located at 349 W. Baltimore Ave in Media PA on the corner of Baltimore Ave and Lemon Street, diagonal from Hill's Seafood. We are in the little town of Media. If traveling south, we are at the end of Media on the right-hand side. We are the last building in the block with the Wine and Spirits store. If you go down a very steep curved hill on the way to the old Granite Run mall you have gone too far. 

If traveling North, from Granite Run, you will pass the Sterling Pig on the left and we are at the crest of the hill, on the left-hand side. 

YOU MAY PARK IN ANY OF THE SPOTS MARKED RESERVED 349 TENANT PARKING ONLY.

BE AWARE GPS WILL OFTEN TAKE YOU TO 349 W. BALTIMORE PIKE. THIS IS THE WRONG ADDRESS!

WE ARE 349 W. BALTIMORE AVE

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