The first year I saw T-she gave me a card with a magnet inside that had encouraging words on it. I didn't give her anything in return that year because I was not sure if it was allowed. Plus, she gave it to me on Christmas Eve (my appt was xmas eve day) I was not expecting it. However that was over 2 years ago. I have not received anything since. Not even a card. But I don't expect it.