Welcome to the Tree of Life Center for Wellbeing

Dana Tavares LMT

Sylvia Tavares Reiki Teacher Practitioner

 

New Clients. This is your resource page for contact information, policies, and intake forms.

 

All sessions are by appointment only. The easiest way to book your appointment is thru our booking service using the link on our site. Otherwise you may call us directly.

You will receive by email a  confirmation “Request for Appointment” with your tentitive day and appoinment time. This means your appointment request has been penciled in our  calender.

New Clients (only), You are asked on your confirmation to fill out a pre-massage COVID check two days ahead of your appointment. A link is provided on your confirmation. Use the link that take you to our pre-massage COVID questionnaire.  This is important because your appointment will not be confirmed until we receive your completed form.

Once completed and reviewed your final confirmation will be emailed to you.

Also listed on your confirmation is a link specific to your appointment should you need to reschedule or cancel.

This resource page provides links to our new client intake forms, insurance forms (if applicable) and other useful information.

You may print and fill out your intake form ahead of your session and bring it in with you.

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Use our Online Booking Link

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Receive "Request for Appointment" confirmation

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Use link to fill out your pre-massage COVID check in information

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Receive your appointment Confirmation

Soothe Your Body & Spirit

General Information

Please reschedule if you are experiencing any new cold/flu/allergy symptoms.

***Please do not wear perfumes, essential oils, or scented lotions/body wash etc.***

Please arrive on time. It is not necessary to arrive any more than 5 minutes early. Ample time for checking in is provided aside from your treatment time.

Cancellation Policy

We appreciate 24 hrs notice of schedule changes. We charge a $45.00 fee for missed appointments. (charges may be waived for illness, unsafe weather conditions or accidents) In some instances a missed appointment fee may be waived if we can re-schedule you later the same week and we’ve had enough advanced notice to accomodate our schedule for that day.

Special Needs

Our office is located on the first floor. Please let us know ahead of time if you have any special needs. If you are coming in post surgery or have recently had been involved in an accident, it would be most helpful to have details ahead of time that we may plan the best approach to serving you.

TLC Covid Safety Info

We take the Covid19 virus very seriously and strive to maintain a safe environment and experience for everyone. Before your massage can be confirmed it is important that we know if you’ve had Covid19 in the past or experiencing any symptoms currently. We require you to use the links here to answer a few basic questions prior to your appointment. We use a HIPPA compliant format for this so your information is safe and secure.

You will be asked to reschedule if you are exhibiting any symptoms of illness when you arrive.

We require mask at all times.

The Pre-massage Covid Check-in links are provided on your “Request for Appointment” notification when you set up your appointment online. The ideal time to do this is two days before your appointment.

If your completed form is not received by then we will send another notice with a link. This must be completed to confirm your appointment. ( one of the questions is if or when you’ve had the Covid vaccine. Your answer is optional, but is helpful for us and may help determine how we schedule our clients and structure our safety protocols). FYI, Dana Tavares LMT has been fully vaccinated and will be wearing a mask at all times.

The links below will take you to your check-in forms. The links are also available on your Request Appointment notice.
New Clients
Initial New Client COVID Risk Questions    (new client. fill out online )
Existing Clients 

(Currrently, as of 3/28/22, as COVID levels are very low in our area, we are not requiring our existing clients to complete a check in before each session. This may change if the situation changes)

Existing Client Covid Check-In   (before each session. 

New Client Intake Forms

(print and fill these out at your convenience. Then bring them in for your first visit)
New Client Intake Form (2-pages). No need to fill in the insurance section if you are self-pay.

 

Massage Therapy / Relaxation

TLC intake form pg. 1

TLC intake form pg. 2

REIKI & EFT

Welcome-form-TLC-EFT.pdf

Welcome-form-TLC-Reiki.pdf

Insurance Forms

(only for approved insurance coverage)

Workers Comp generally pays LMTs without any problem. A referral from your doctor is necessary. Personal injury often pays claims from LMTs thru your lawyer.

Major Medical is a lot more difficult. We do our best to verify coverage but cannot guarantee it. You will be responsible to cover claims denied. We will require a picture or copy of your insurance card and a referral, in most cases, from your doctor. If you call your insurance company to verify your coverage for massage therapy you need to specifically ask if they cover massage therapy, if you need a referral, and if they pay directly to LMTs or if you have to pay and then file for reimbursement. You should also ask about your deductible and co-insurance requirements.

TLC Privacy Statement   (print for your records)
Blank_reciept_of_privacy_notice   (print, fill out, bring in)
Assignment of Benefits, Records Release, Payment Agreement (print, fill out, bring in)
TLC_HIPAA_Authorization_Form  (print, fill out, bring in)

My Practice

Location

19 Sheepscot Road

Newcastle, ME. 04553

Make an Appointment

Online Booking 

Open Hours

Monday – Friday: 10am – 6pm
Saturday: 10:00am – 12:00 pm