Get the free Massage Client Intake Form - carneswellnesscom

BARNES CHIROPRACTIC & WELLNESS CENTER 2323 W. MAIN STREET SUITE 109 DOTHAN, AL 36301 MASSAGE THERAPY INTAKE FORM Date: Personal Data: DOB: Referred by: NAME: ADDRESS: EMAIL ADDRESS Day Phone: Evening

How to fill out massage client intake form

How to Fill Out Massage Client Intake Form:

Start by providing your personal information:

1. Write your full name, address, and contact details.
2. Include emergency contact information in case of any unforeseen circumstances during the massage session.

Provide your medical history:

1. Mention any pre-existing medical conditions or allergies that could affect the massage treatment.
2. Include details about any medications you are currently taking.

Communicate your specific needs and goals:

1. Explain your reason for seeking a massage, whether it is for relaxation, pain relief, or stress management.
2. Discuss any specific areas of concern or preferences you have regarding the massage techniques or pressure.

Inform about any injuries or physical limitations:

1. Inform the massage therapist about any past or current injuries or surgeries.
2. Mention any physical limitations or areas of the body that should be avoided or approached with caution.

Disclose your expectations and boundaries:

1. Clearly communicate any boundaries or preferences you have regarding touch, clothing, or draping during the massage session.
2. Discuss any specific techniques or modalities you would like to focus on or avoid.

Answer questions related to your lifestyle:

1. Provide information about your occupation, hobbies, and physical activities.
2. Mention any lifestyle factors that may impact your overall well-being or affect the massage treatment.

Who Needs Massage Client Intake Form?

1. Massage therapists: Massage client intake forms are necessary for the therapists to gather important information about their clients before providing any treatment. It helps them assess the client's needs and ensure a safe and effective massage experience.
2. Clients seeking massage therapy: Anyone seeking a massage therapy session should fill out a client intake form. It allows clients to provide essential details about their health history, preferences, and goals, enabling the therapist to tailor the treatment accordingly.

In summary, filling out a massage client intake form involves providing personal information, medical history, specific needs and goals, mentioning any injuries or limitations, disclosing expectations and boundaries, and sharing lifestyle-related information. Both the massage therapists and the clients benefit from having a comprehensive intake form, as it helps create a customized and safe massage experience.

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What is massage client intake form?

The massage client intake form is a document used to collect important information from clients before providing massage therapy services.

Who is required to file massage client intake form?

Massage therapists and massage therapy clinics are required to have clients fill out the intake form before beginning any massage therapy sessions.

How to fill out massage client intake form?

Clients can fill out the massage client intake form by providing their personal information, medical history, and any specific concerns or preferences they may have.

What is the purpose of massage client intake form?

The purpose of the massage client intake form is to gather relevant information about the client's health, preferences, and any conditions that may impact the massage therapy session.

What information must be reported on massage client intake form?

The massage client intake form typically includes information such as the client's name, contact details, medical history, and any specific requests or concerns.