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MASSAGE THERAPY INTAKE FORM CLIENT NAME: DATE OF BIRTH: EMERGENCY CONTACT: Name: NUMBER: Please take a moment to read over the following questions carefully and mark as indicated. Massage Therapy
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How to fill out massage bintake formb

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How to fill out a massage intake form:

01
Begin by providing your personal information. This will typically include your name, address, phone number, and email address.
02
Next, fill in any relevant medical history. This may include information about past surgeries, injuries, medical conditions, or allergies. It is important to be honest and thorough in order to ensure your safety during the massage.
03
Indicate any current medications or supplements you are taking. This information is crucial as certain medications can affect the massage treatment.
04
Specify any areas of concern or focus for your massage. This can include specific body parts or issues you want the therapist to address. It is important to communicate your preferences and expectations.
05
Choose your preferred pressure level for the massage. This can range from light to deep pressure, depending on your comfort level and needs.
06
Note any additional preferences or requests you may have. For example, you may want to indicate whether you prefer a male or female therapist, or if you have any specific requirements for the massage room ambiance.
07
Finally, sign and date the form, acknowledging that you have provided accurate information to the best of your knowledge.

Who needs a massage intake form?

01
Individuals receiving professional massage therapy. A massage intake form is typically required by licensed massage therapists as part of their assessment and treatment planning process.
02
People with specific health concerns or conditions. The intake form helps the massage therapist evaluate any potential risks or contraindications related to the individual's health history.
03
Individuals looking for a customized massage experience. The intake form allows the client to communicate their preferences, concerns, and goals to the massage therapist, ensuring a tailored and effective treatment.
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Massage intake form is a form that collects important information about a client's health history, preferences, and goals for a massage session.
Massage therapists are required to have their clients fill out a massage intake form before their first session.
Clients can fill out a massage intake form by providing accurate and detailed information about their health conditions, areas of pain, and expectations for the massage.
The purpose of a massage intake form is to ensure the therapist has a clear understanding of the client's needs and can provide a safe and effective massage session.
Information such as medical history, current medications, injuries, allergies, and specific areas of concern should be reported on a massage intake form.
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