WHY US & FAQ

A Personal Trainer For Your Face, Airway & Body

 

Myofunctional therapy, Bodywork, and Breathwork all combine for the same purpose: Overall functional health. 

1) Due to the way a dysfunctional tongue is positioned in the mouth, orofacial disorders can have a negative effect on breathing to include sleep-disordered breathing and sleep apnea. 

  • Myofunctional therapists apply parts of breathing re-training therapy into their work and/or refer to a breathing re-training specialist*.

  • Breathing disorders also lead to ADHD, anxiety, insomnia, panic attacks, bedwetting, Co2 imbalance, and asthma to name a few.  

2) Orofacial disorders are muscular in nature and affect body posture that can lead to chronic body pain. 

  • Massage therapists in Washington State can take specialized classes in intraoral massage work that helps support the jaw joint.

3) Orofacial disorders have been linked to other functional issues. 

  • TMJ pain is multifactorial and some are due to a muscular imbalance. If the TMJ pain is structural it could stem from the feet. Meaning poor gait rotated hips and incorrect curvature of the spine. If the issue is functional in nature it could stem from the head, starting with mouth breathing, low tongue tone, and forward head posture to name a few. 


HOW AN INTEGRATIVE PRACTICE HELPS YOU. 


Myofunctional therapy, bodywork, and breathwork usually require a weekly to bi-weekly appointment schedule to be effective. Typically these therapies are performed by separate providers and encompass numerous appointments spanning from 6 months to a full year or more. **      

Save Time

Multiple appointments with different providers mean multiple times away from our already busy schedules. About Face combines different modalities into one slightly longer appointment time so you can get back to spending your time on other things. 

Save Money

No more multiple new client intake forms.

No more separate appointment intake fees.

No more taking multiple days or time off of work. 

Better Convenience & Less Confusion

Three therapists in one. 

At About Face you have a trusted allied health professional managing your care which improves outcomes and decreases multiple correspondences with various healthcare providers. This also means more comprehensive focused care and better communication. 

*     A breathing re-training specialist is NOT the same as a respiratory therapist.

**   Depending on the severity of symptoms

*** Does not include appointments for orthodontics, tongue tie release providers (if necessary), sleep studies, chiropractors, osteopaths, primary care           physicians, or any other doctor that can help guide treatment. 

 

FAQS

I’m Here for You

Below are answers to my patients’ frequently asked questions. If there is something I’ve missed, please don’t hesitate to ask. For more information, get in touch. I look forward to meeting you soon.

DO I NEED A REFERRAL?

Referrals: HIGHLY RECOMMENDED. 

  • I am an allied healthcare provider. That means, although I have the licensure to treat conditions, I do not have the power or legality to diagnose an ailment or condition. 

  • Referrals are required if you plan on getting any reimbursement from your insurance company. Insurance companies only reimburse diagnostics. 

Ask your provider to request a referral pad or to fill out our online referral form. This way, when it comes time to supply you with a superbill you have all the information your insurance company needs for a smoother reimbursement process. 

If you are self-referred keep in mind that at any point in your treatment I may refer you for an official diagnosis of any condition or send you to a provider for an official diagnosis of any condition to aid in your healing process as well as help with reimbursement purposes.

WHAT DO MY OUT OF POSCKET EXPENSES LOOK LIKE?

In the state of Washington, as a massage therapist I can only bill 4 units of 15 minutes worth of treatment per session
(1 hour). The sessions can range anywhere from 30 minutes to 1.5 hours dependent upon your individual needs and what treatment is performed. The out of pocket expense is to be paid in full out of pocket up front and what your insurance reimburses you is really up to them.

ARE YOU IN NETWORK WITH MY INSURANCE COMPANY?

NO. I am a fee - for - service practice.

Insurance likes to dictate treatment, our worth, and our time. By being out of network with insurance companies, it allows me to take care of you the way you should be taken care of. This allows me to treat you for who you are and not who the insurance company says you are. I also get to take as much time with you as we need. I require payment at the time of service. 

  • You must be familiar with your insurance benefits.

  • By law, your insurance company is required to pay each claim within 30 days of receipt. ​

  • We do not have a contract with your insurance company, YOU DO.

  • We are not responsible for how your insurance company handles its claims or for what benefits they pay.

  • We do not guarantee what your insurance will or won't do with each claim.

  • We will not be responsible for any errors in filing your insurance. 

  • NO insurance pays 100% of all procedures

  • Benefits are NOT determined by us. 


Insurance is ONLY meant to be an aid in receiving care.

Why does my insurance reimburse me at a lower rate than your actual fees? 


Insurance likes to dictate the worth of a client and a provider.  


Insurances state that the reimbursement was reduced due to your providers' fee exceeding the usual, customary, or reasonable fee ("UCR") used by the company. Such a statement gives the impression that any fee greater than the amount paid by the insurance company is unreasonable, or well above what most providers in the area charge for a certain service.


Insurance providers can be very misleading and are NOT accurate. 

  • Insurance companies set their own schedules and fees. 

  • These allowable fees may vary widely because each company collects fee information from claims it processes.

  • The insurance company then takes this data and chooses a level they call "allowable."

  • This data can be three to five years old and these "allowable" fees are set by the insurance company so they can make a net 20%-30% profit. 

In general, the less expensive insurance policy will use a lower usual, customary, or reasonable (UCR) figure. ​

DOES MY INSURANCE COVER ANY TREATMENT YOU PERFORM?

Myofunctional Therapists bill the same bodywork codes as Chiropractors, Speech Language Pathologists, Physical Therapists and Massage Therapists but have less of a chance ( if any ) of getting a reimbursement because they are not licensed in those fields.

Since I am licensed as massage therapist I may be able to get better coverage for you than a traditional myofunctional therapist. Most plans only pay between 50%-80% of the average total investment IF you have out of network massage therapy coverage. 

If you have a referral from your doctor or dentist. How much they cover is up to your individual insurance carriers and your specific plan. 

We have had coverage anywhere from 0% - 70%. 

I NEED A FULL COMPREHENSIVE TREATMENT PLAN. HOW CAN I AFFORD IT?

I accept HSA, Credit Cards & Cash. I also accept checks but do not start treatment until they have cleared. 

Phases can be intertwined and combined at any time. Typically, we start with 8 weeks intensive myofunctional therapy. At session 3 we start to see compensations and add in Phase II. Phases III and IV are typically added in at session 8 of myofunctional therapy.


5% discount for any single program paid in full at the time of Exam

10% discount for 2 programs paid in full at the time of Exam

15% discount for 3 or more programs paid in full at the time of Exam


No discount for payment plans, pay as you go, or one time service


We offer 3, 6, 9, 12 monthly payment plans with 50% down dependent on length and type of service.

I HAVE FOUND AND AM WORKING WITH ANOTHER MYOFUNCTIONAL THERAPY PROVIDER. CAN I STILL COME IN AND SEE YOU FOR BODYWORK?

YES! I love networking with other providers! I would request correspondence from your myofunctional therapist so we can all be on the same page for your care. 

WHAT DOES A TYPICAL COMBINED MYOFUNCTIONAL THERAPY SESSION LOOK LIKE?

This depends on the needs of the client and can vary significantly. 

Most of the time we start off with warming the tissues with a warm relaxing towel or neck warmer, during this time we work on our Buteyko Breathing exercises to get oxygen to the muscles for proper function and greatest range of motion. We then break into gentle massage and loosening up the muscles, and complete treatment with orofacial exercises. If poor posture is involved or lower back pain I typically re-evaluate this after a tongue tie release (if needed) or session 6-8.

Sometimes we can make progress on poor posture by working a few sessions with the orofacial complex. If during your initial evaluation, I find the extent of poor posture was out of my scope of practice (as with any other symptom) and I referred you to another provider, I talk with them to find the status of your progress and go from there.

CAN I MAKE AN APPOINTMENT WITH YOU FOR FULL BODY - DEEP TISSUE, HOT STONE, REFLEXOLOGY, OR RELAXATION MASSAGE?

NO. I do not offer this type or any type of walk in services. I only offer full bodywork services for my clients that are tied into myofunctional treatment plan if they need it. This keeps me focused on my specialization in head and neck disorders.

Can’t find the answer to your question? Email me!

 

WHY ABOUT - FACE IS THE BEST CHOICE FOR YOU. 

There is no other program like it

Think of About - Face integrated programs like this: 

Prior to any exercise it is important to stretch and warm up the muscles for the most optimal outcomes of any workout. If we take the time to warm and stretch the muscles we also have a better and faster recovery time. This is especially imperative when it comes to joint and tendon recovery with chronic TMJ and facial pain. 

A great example is when we watch sports. A 100m runner will have someone help them on the field by massaging the legs and stretching prior to a run. When the muscles are warm they function better and risk injury. 

Reasons why About - Face employs this type of treatment. 


  • Orofacial disorders are muscular in nature and affect body posture that can lead to chronic body pain. 

  • Massage therapists in Washington State can take specialized classes in intraoral massage work that helps support the jaw joint.


Orofacial disorders have been linked to other functional issues. 

  • TMJ pain is multifactorial and some are due to a muscular imbalance. If the TMJ pain is structural it could stem from the feet. Meaning poor gait rotated hips and incorrect curvature of the spine. If the issue is functional in nature it could stem from the head, starting with mouth breathing, low tongue tone, and forward head posture to name a few. 

Myofunctional Therapy exercises the muscles of the orofacial complex and educates the nervous system to function optimally. Massage therapy is such an important component to myofunctional therapy as it stretches and warms the muscles first prior to exercise.


 

CANCELLATION & PRACTICE POLICIES

APPOINTMENTS AND CANCELLATIONS

Please remember to cancel or reschedule 48 hours in advance. You will be responsible for a fee of $100 if cancellation is less than 48 hours.

The standard meeting time for most offered services is 50 minutes with the exception of new client evaluations and other selective services which can range from 80 - 180 minutes.

A $30 service charge will be charged for any checks returned for any reason for special handling.

NEW CLIENT cancellations and re-scheduled sessions will be subject to a full charge if NOT RECEIVED AT LEAST 48 HOURS IN ADVANCE. This is necessary because a time commitment is made to you and is held exclusively for you. If you are late for a session, you may lose some of that session time.


TELEPHONE ACCESSIBILITY

If you need to contact me between sessions, please leave a message on my voicemail. I am often not immediately available; however, I will attempt to return your call within 24 hours. Please note that Face-to-face sessions are highly preferable to phone sessions. However, in the event that you are out of town, sick or need additional support, phone sessions are available. If a true emergency situation arises, please call 911 or any local emergency room.


SOCIAL MEDIA AND TELECOMMUNICATION

Due to the importance of your confidentiality and the importance of minimizing dual relationships, I do not accept friend or contact requests from current or former clients on any social networking site (Facebook, LinkedIn, etc). I believe that adding clients as friends or contacts on these sites can compromise your confidentiality and our respective privacy. It may also blur the boundaries of our therapeutic relationship. If you have questions about this, please bring them up when we meet and we can talk more about it.


ELECTRONIC COMMUNICATION

I cannot ensure the confidentiality of any form of communication through electronic media, including text messages. If you prefer to communicate via email or text messaging for issues regarding scheduling or cancellations, I will do so. While I may try to return messages in a timely manner, I cannot guarantee immediate response and request that you do not use these methods of communication to discuss therapeutic content and/or request assistance for emergencies.

Services by electronic means, including but not limited to telephone communication, the Internet, facsimile machines, and e-mail is considered telemedicine by the State of Washington. Under the Washington Telemedicine Law, telemedicine is broadly defined as the use of information technology to deliver medical services and information from one location to another. If you and your therapist chose to use information technology for some or all of your treatment, you need to understand that:

  1. You retain the option to withhold or withdraw consent at any time without affecting the right to future care or treatment or risking the loss or withdrawal of any program benefits to which you would otherwise be entitled.

  2. All existing confidentiality protections are equally applicable.

  3. Your access to all medical information transmitted during a telemedicine consultation is guaranteed, and copies of this information are available for a reasonable fee.

  4. Dissemination of any of your identifiable images or information from the telemedicine interaction to researchers or other entities shall not occur without your consent.

  5. There are potential risks, consequences, and benefits of telemedicine. Potential benefits include, but are not limited to improved communication capabilities, providing convenient access to up-to-date information, consultations, support, reduced costs, improved quality, change in the conditions of practice, improved access to treatment, better continuity of care, and reduction of lost work time and travel costs. Effective treatment is often facilitated when the healthcare provider gathers within a session or a series of sessions, a multitude of observations, information, and experiences about the client. The provider may make assessments, diagnosis, and interventions based not only on direct verbal or auditory communications, written reports, and third person consultations, but also from direct visual and olfactory observations, information, and experiences. When using information technology in services, potential risks include, but are not limited to the provider’s inability to make visual and olfactory observations of clinically or therapeutically potentially relevant issues such as: your physical condition including deformities, apparent height and weight, body type, attractiveness relative to social and cultural norms or standards, gait and motor coordination, posture, work speed, any noteworthy mannerism or gestures, physical or medical conditions including bruises or injuries, basic grooming and hygiene including appropriateness of dress, eye contact (including any changes in the previously listed issues), sex, chronological and apparent age, ethnicity, facial and body language, and congruence of language and facial or bodily expression. Potential consequences thus include the provider not being aware of what he or she would consider important information, that you may not recognize as significant to present verbally to the provider.

MINORS

If you are a minor, your parents may be legally entitled to some information about your treatment. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential.


TERMINATION

Ending relationships can be difficult. Therefore, it is important to have a termination process in order to achieve some closure. The appropriate length of the termination depends on the length and intensity of the treatment. I may terminate treatment after appropriate discussion with you and a termination process if I determine that the treatment is not being effectively used or if you are in default on payment. I will not terminate the therapeutic relationship without first discussing and exploring the reasons and purpose of terminating. If treatment is terminated for any reason or you request another provider, I will provide you with a list of qualified Myofunctional Therapists or Bodyworkers to treat you. You may also choose someone on your own or from another referral source. Should you fail to schedule an appointment for three consecutive weeks, unless other arrangements have been made in advance, for legal and ethical reasons, I must consider the professional relationship discontinued.