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PERSONAL HEALTH INFORMATION MASSAGE HISTORY×TREATMENT INFORMATION Patient Name: Date: Have you ever received a professional message? Yes NO If yes, frequency Date of last massage What results do
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How to fill out massage historytreatment information

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How to fill out massage history/treatment information:

01
Begin by providing your personal details, such as your full name, date of birth, and contact information. This helps the practitioner identify you and reach out if needed.
02
Next, fill out your medical history. Include any past injuries, surgeries, or medical conditions that might affect your massage treatment. It's important to disclose all relevant information to ensure your safety during the session.
03
Provide information about your current health status. If you have any existing pain, discomfort, or specific areas of concern, mention them in this section. This will help the massage therapist tailor the treatment to your specific needs.
04
Indicate any medications or supplements you are currently taking. Some medications can have an impact on the body's response to massage, so it's crucial to inform your therapist about them.
05
Mention any allergies or sensitivities you may have. This includes allergies to massage oils, lotions, or any other products that could be used during the treatment. The therapist can then choose suitable alternatives to avoid any adverse reactions.
06
Specify your preferences or requirements for the massage session. For example, if you prefer a specific type of massage (e.g., Swedish, deep tissue, or hot stone), or if you have any particular requests regarding pressure, duration, or focus areas, make sure to communicate them here.
07
Lastly, sign and date the form to indicate that all the information provided is accurate and complete. By doing so, you acknowledge that you have understood the policies and procedures of the massage therapy clinic or spa.

Who needs massage history/treatment information?

01
Massage therapists: They require this information to ensure they provide a safe and effective treatment tailored to your specific needs. Understanding your medical history and concerns allows them to adjust techniques, avoid potential complications, and address areas that require extra attention.
02
Healthcare professionals: In situations where your massage therapist works as part of a comprehensive healthcare team, such as in chiropractic clinics or medical spas, sharing your massage history/treatment information with other healthcare providers can help them coordinate your care and make informed decisions regarding your overall well-being.
03
Insurance companies: If you are receiving massage therapy through insurance coverage, the insurance company may require information about your past treatments and medical history to assess eligibility and coverage. This helps them determine the appropriateness of massage therapy as a treatment option.
In conclusion, filling out massage history/treatment information accurately and comprehensively is essential for both your safety and the effectiveness of the massage session. It allows therapists, healthcare professionals, and insurance providers to make informed decisions and provide the best possible care for your needs.
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Massage history/treatment information is a record of past massage sessions, including details of treatments received.
Massage therapists are required to file massage history/treatment information for each client they treat.
Massage history/treatment information can be filled out by documenting each session's date, duration, type of massage, and any specific treatments performed.
The purpose of massage history/treatment information is to track client progress, ensure continuity of care, and maintain professional records.
Information such as client name, date of birth, contact information, medical history, session dates, treatment details, and any progress notes must be reported on massage history/treatment information.
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