Complete Intake Forms Prior to Your Appointment.
~ Current Clients, Please Update Your File: Print Forms 1, 2
~ Accepted No-Fault & Workman's Compensation Clients: Print Forms 1 - 8
A note regarding these Forms: NYS and Medical HIPA Laws require Licensed Massage Therapists to have these documents on file. Should you have any questions do not hesitate to call.
Theresa A. Contos, LMT accepts a limited number of No-Fault & Pre-Approved Workman's Compensation clients. Currently, most private Health Insurance Companies do not reimburse clients for Massage Therapy Treatments. However, if you have a Flex Plan at Work please call me to discuss how Massage Therapy Treatments may be a reimbursable expense.
If you're a first-time client, please print this form, complete it, and bring it along to our first session.
If you're a first-time client, please print this form, complete it, and bring it along to our first session.
If you're a first-time client, please print this form, complete it, and bring it along to our first session.
Accepted No-Fault or Workman Compensation Clients: Please print and complete this form with appropriate info.
Accepted No-Fault or Workman Compensation Clients: Please print and complete this form with appropriate info.
Accepted No-Fault or Workman Compensation Clients: Please print and complete this form with appropriate info.
Accepted No-Fault or Workman Compensation Clients: Please print and complete this form with appropriate info.
Accepted No-Fault or Workman Compensation Clients: Please print and complete this form with appropriate info.
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