Intake e-Form

  • Once you have completed the form, click the SUBMIT button.


    Contact Information

  • (eq. Feel pain under the left arm when I raise the hand above eye level, Stiffness on the neck, etc).

  • Please note that the following sometimes occurs during massage. They are normal responses to relaxation: need to move or change position, sighing, yawning, change in breathing, stomach gurgling, emotional feelings and/or expression, movement of intestinal gas, energy shifts, falling asleep, memories.

    It is my choice to receive massage therapy, and I give consent to receive treatment. I understand that a Massage Therapists DO NOT diagnose illness, disease, or any other physical or mental disorders. Massage therapy is not a substitute for medical examination and/or diagnosis. I affirm that I have stated all my known medical conditions and shall take it upon myself to keep my Massage Therapist updated on my physical/mental health. I also agree there shall be no liability on the practitioner’s part should I neglect to do so.

    Cancellations: A 24-hour cancellation notice is required for any scheduled appointments.


  • Indicate substance, quantity and periodicity when relevant

Last updated on October 14th, 2010.

 Theme by Wordprezzie

Customization and set up by 1661 Design 

Rosalinda Contreras LMT is a licensed massage therapist that offers a variety of massage therapies in her Studio at the heart of Westchester in Mount Kisco NY. Among then Thai Yoga Massage, Deep Tissue Massage, Swedish Massage, Cuping Massage, Hot Stone Massage, Acupressure, Massage Foot Reflexology. in,Westchester County, New York (NY),Mount Kisco (NY),Massage Therapist Westchester County,Massage Therapy Westchester County,massage Westchester County,relaxation Westchester County,stress Westchester County,fibromyalgia Westchester County,detoxing Westchester County,sports injuries Westchester County,licensed Westchester County,deep tissue Westchester County,hot stone Westchester County,chair Westchester County,full body Westchester County,cranio sacral Westchester County,cuping Westchester County,hot stone Westchester County Nearby Towns: Mahopac, NY, Mount Kisco, NY, Ossining, NY Nearby Counties: Putnam, Westchester Nearby Zips: 10541, 10549, 10562