Get the free Massage Intake Form - University Club of Michigan State University

Massage Intake Form Date of Birth Gender () Male () Female Name Member # (If you are not a member of the University Club, please complete the following information) Address City State Zip Code Phone:

How to fill out massage intake form

How to fill out a massage intake form:

1. Start by providing your personal information such as your full name, contact details, and date of birth. This information helps the massage therapist in maintaining accurate records and for identification purposes.
2. Indicate any relevant medical history or conditions that could potentially affect your massage session. This includes allergies, injuries, surgeries, chronic illnesses, and any medications you are currently taking. Be as specific as possible to ensure the therapist can tailor the session to your needs and avoid any potential complications.
3. Next, mention your primary reason for seeking the massage. Whether it is to relax, alleviate pain or tension, relieve stress, improve flexibility, or any other specific goal you have in mind. This information helps the therapist in determining the best techniques and treatment plan for you.
4. It is important to communicate any areas of your body that you would like the therapist to focus on or any areas that you would prefer to be avoided. This helps the therapist understand your preferences and ensures a personalized and comfortable massage experience.
5. If you have any preferences regarding pressure, temperature, or music during the session, make sure to mention them. Some people prefer a softer touch, while others prefer a deep tissue massage. Communicating your preferences helps the therapist tailor the experience to your liking.
6. Finally, review the form to ensure all information provided is accurate and complete. If you have any questions or concerns, don't hesitate to discuss them with the therapist before the session begins.

Who needs a massage intake form:

1. Individuals seeking professional massage therapy services, whether it be for relaxation or therapeutic purposes.
2. Athletes or individuals involved in sports activities who may require massage therapy to enhance performance, prevent injuries, or aid in recovery.
3. Individuals with chronic pain conditions, muscle tightness, or physical discomfort who seek massage therapy as part of their pain management plan.
4. Pregnant women who may require specialized prenatal massage techniques to address specific needs and alleviate discomfort during pregnancy.
5. Individuals with specific health conditions such as arthritis, fibromyalgia, or high blood pressure, who can benefit from massage therapy as a complementary treatment for symptom management.
6. Anyone interested in maintaining overall well-being, managing stress, or simply enjoying the relaxation and rejuvenation that massage therapy offers.

For pdfFiller’s FAQs

What is massage intake form?

The massage intake form is a document that clients fill out before the start of a massage therapy session. It collects important information about the client's medical history, current health condition, and any specific preferences or concerns they may have.

Who is required to file massage intake form?

Clients who wish to receive a massage therapy session are required to fill out the massage intake form.

How to fill out massage intake form?

To fill out the massage intake form, clients need to provide accurate and complete information regarding their medical history, current health conditions, and any specific preferences or concerns they may have. The form can usually be filled out either electronically or on paper, following the instructions provided by the massage therapist or the establishment offering the massage services.

What is the purpose of massage intake form?

The purpose of the massage intake form is to ensure the safety and well-being of the client during the massage therapy session. It helps the massage therapist to understand the client's health history, identify any contraindications or potential risks, and tailor the massage treatment to meet the client's specific needs.

What information must be reported on massage intake form?

The massage intake form typically requires the client to report information such as their personal details (name, contact information), medical history (including surgeries, injuries, medical conditions), current medications, allergies, and any specific preferences or concerns related to the massage therapy session.

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