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Massage Client Intake Form PLEASE PRINT LEGIBLY Name Email Address City/State/Zip Phone: Homework Cell Birthday / / Occupation Referred to This Office by In Case of Emergency Please Contact: Phone
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How to fill out massage client intake form

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How to fill out a massage client intake form:

01
Start by providing your personal information, such as your name, address, phone number, and email address. This allows the massage therapist to contact you if needed.
02
Next, provide your medical history. It is important to disclose any medical conditions, injuries, or surgeries you have had, as well as any medications you are currently taking. This information helps the massage therapist tailor the treatment to your specific needs and ensures your safety during the session.
03
Indicate any specific areas of concern or issues you would like the massage therapist to address. Whether it's chronic pain, muscle tension, or stress-related concerns, providing this information helps the therapist customize the massage techniques and focus on your specific needs.
04
Specify your preferences regarding pressure and areas to avoid during the massage. If you prefer a certain level of pressure, whether it's light, medium, or deep, be sure to communicate that on the intake form. Additionally, if there are any sensitive areas or areas you would like the therapist to avoid, such as recent injuries or surgeries, make sure to mention it.
05
Lastly, sign and date the form to acknowledge that the information provided is accurate and complete. This serves as a legal document and ensures that both you and the massage therapist are on the same page regarding expectations and responsibilities.

Who needs a massage client intake form?

01
Individuals seeking a professional massage: Anyone who wants to receive a massage from a licensed massage therapist will likely need to fill out a client intake form. It is a standard practice to gather necessary information about a client's health history and preferences before beginning a massage session.
02
Massage therapists and establishments: Massage therapists and establishments, such as spas or wellness centers, require a client intake form to gather relevant information about a client's health and preferences. This allows them to provide safe and effective treatments tailored to the individual's needs.
03
Insurance and legal purposes: In some cases, massage therapy may be covered by insurance or require legal documentation. In these cases, the client intake form serves as a comprehensive record of the client's medical history, preferences, and any existing conditions or injuries that may affect the treatment.
It is essential to fill out a massage client intake form accurately and honestly to ensure a safe and beneficial massage experience.
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The massage client intake form is a document that gathers important information about the client's health history and preferences before receiving a massage.
Massage therapists are required to have clients fill out a massage client intake form before their first session.
Clients can fill out the massage client intake form by providing accurate information about their health history, current conditions, and massage preferences.
The purpose of the massage client intake form is to ensure the safety and well-being of the client by providing the massage therapist with relevant information.
Information such as medical history, current health conditions, allergies, medications, and preferences for the massage session must be reported on the massage client intake form.
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