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Massage Intake Form Date Name (Last, First, MI) Date of Birth Please indicate conditions that you have or have had in the past. Implanted Hardware (pins, screws, wires) No If yes, when? Medium×Firm

How to fill out massage intake and consent

How to fill out massage intake and consent:

1. Begin by providing your personal information such as your name, address, phone number, and email. This information is necessary for the massage therapist to contact you and keep a record of your session.
2. Next, fill in any medical history or conditions you may have. This includes any past injuries, surgeries, chronic illnesses, or allergies. This information helps the massage therapist tailor the session to your specific needs and ensure your safety.
3. Indicate any medications or supplements you are currently taking. Certain medications or supplements may affect how the massage is performed or have potential contraindications.
4. Specify your goals and expectations for the massage session. This can include relaxation, pain relief, stress reduction, or specific areas you want the therapist to focus on. Clear communication with the therapist helps them understand your desired outcome.
5. Discuss any areas of your body that you would like the therapist to avoid or use caution with. If you are uncomfortable with certain techniques or have sensitivity in certain areas, make sure to mention it.
6. Read and understand the consent section thoroughly. This section usually outlines the benefits and risks of massage therapy, as well as any policies the therapist may have in place. If you have any concerns or questions, don't hesitate to ask the therapist for clarification.
7. Sign and date the intake and consent form, indicating that you have reviewed and understood the information provided.

Who needs massage intake and consent:

1. Individuals seeking professional massage therapy services. Whether you are visiting a spa, wellness center, or independent massage therapist, it is standard practice to fill out an intake and consent form.
2. First-time clients or those seeing a new therapist. The intake form helps the therapist gather important information about your health and history, allowing them to provide a safe and effective session.
3. Returning clients who have experienced changes in their health or medications. Updating the intake form ensures that the therapist is aware of any new developments and can adjust the session accordingly.
4. Clients with specific conditions or concerns. If you have a medical condition, injury, or specific preferences for your massage, the intake form is a crucial tool for communicating your needs to the therapist.
5. Massage therapists. The intake and consent form serves as a legal document that protects both the client and the therapist by clearly outlining the agreed-upon terms and confirming the client's consent for the session.

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What is massage intake and consent?

Massage intake and consent is a form that clients fill out before receiving a massage, which includes information about their health history and any current medical conditions.

Who is required to file massage intake and consent?

Clients who are receiving a massage are required to fill out and submit a massage intake and consent form.

How to fill out massage intake and consent?

Clients can fill out a massage intake and consent form by providing accurate information about their health history, current medical conditions, and signing to consent to the massage treatment.

What is the purpose of massage intake and consent?

The purpose of massage intake and consent is to ensure that the massage therapist is aware of any health issues or concerns that may impact the massage treatment.

What information must be reported on massage intake and consent?

Clients must report their health history, current medications, allergies, and any medical conditions on the massage intake and consent form.