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Massage Health History Form Date: Name: Date of birth: Care Card #: Address: City: Postal Code: Phone #(h): (c): (w): Email: Occupation: Doctor: Referred by: Is this an ICBC or Work Safe claim? Claim
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How to fill out massage health history form

How to fill out a massage health history form:
01
Start by providing your personal information such as your name, address, phone number, and date of birth.
02
Next, indicate any medical conditions you currently have or have had in the past. This may include allergies, chronic illnesses, or past surgeries.
03
Specify any medications or supplements you are currently taking. Include the dosage and frequency of use.
04
Mention any specific areas of pain or discomfort that you would like the massage therapist to focus on during your session.
05
Indicate any injuries or accidents you have experienced that may affect the massage treatment. Provide details of when and how these injuries occurred.
06
If you are pregnant, disclose how far along you are and any specific concerns or complications you may have related to your pregnancy.
07
Note any preferences or concerns you have regarding the massage session, such as pressure intensity, areas to avoid, or specific techniques you do not prefer.
08
Finally, sign and date the form to acknowledge that the information provided is true and accurate.
Who needs a massage health history form?
01
Anyone who is seeking a professional massage should fill out a health history form. This includes first-time clients, as well as regular clients who have not updated their information recently.
02
Massage therapists rely on accurate health history forms to ensure the safety and well-being of their clients during the massage session.
03
The information provided in the form helps the massage therapist understand any health concerns or conditions that may affect the treatment or require modifications.
04
By filling out a massage health history form, clients can enhance the effectiveness and customization of their massage experience, ensuring that their specific needs and preferences are addressed.
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What is massage health history form?
Massage health history form is a document that collects information about a client's current health status, medical history, and any conditions that may affect their massage therapy treatment.
Who is required to file massage health history form?
Clients who are receiving a massage therapy treatment are required to fill out the massage health history form.
How to fill out massage health history form?
Clients can fill out the massage health history form by providing accurate and detailed information about their health history, current medications, and any specific concerns or conditions they may have.
What is the purpose of massage health history form?
The purpose of the massage health history form is to ensure the safety of the client during the massage therapy treatment, by providing the therapist with important health information.
What information must be reported on massage health history form?
The massage health history form should include information about the client's medical history, current health conditions, medications, allergies, and any specific areas of concern.
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