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Janice McClure, LMP* 300 NW 80th St. Seattle, WA* (206)730-5454 CLIENT INFORMATION / HEALTH INTAKE FORM Name Address City/State Zip Occupation Telephone # Business/Cell # Birth Date Have you ever
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How to fill out massage intake form

How to fill out a massage intake form:
01
Start by providing your personal information such as your name, contact details, and date of birth.
02
Specify any medical conditions or allergies you may have. This information is crucial for the therapist to ensure your safety during the massage.
03
Indicate any medications you are currently taking. Some medications can affect the massage treatment or require specific adjustments.
04
Mention any injuries or areas of concern that you would like the therapist to focus on during the session.
05
Communicate your preferences regarding pressure, areas to avoid, or any specific techniques you would like to be used.
06
Consider providing information about your lifestyle, such as your occupation or any recreational activities that may be relevant to your treatment.
07
If it is your first time receiving a massage, mention any expectations or concerns you may have.
08
Sign and date the form to confirm that all the provided information is accurate and complete.
Who needs a massage intake form?
01
Individuals who are seeking professional massage therapy services.
02
People with specific medical conditions or injuries that may require special attention or modifications during the massage.
03
Spa or wellness centers that prioritize the well-being and safety of their clients by collecting essential information.
04
Massage therapists who need a comprehensive understanding of their clients' health history and preferences in order to provide effective and tailored treatments.
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What is massage intake form?
The massage intake form is a document that collects information about the client's medical history, current health conditions, and personal preferences before a massage session.
Who is required to file massage intake form?
Clients who wish to receive a massage therapy session are required to fill out the massage intake form.
How to fill out massage intake form?
To fill out the massage intake form, the client needs to provide accurate information about their medical history, current health conditions, allergies, medications, and any specific areas or techniques they would like the therapist to focus on during the session.
What is the purpose of massage intake form?
The purpose of the massage intake form is to ensure the client's safety and well-being during the massage session by allowing the therapist to understand any health concerns or specific needs the client may have.
What information must be reported on massage intake form?
The massage intake form typically requires the client to report their personal contact information, medical history, current health conditions, allergies, medications, and any specific areas or techniques they would like the therapist to focus on during the session.
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