Get the free Massage Therapy Intake Form - Fruition Therapeutics

Massage Therapy Intake Form Name: Date: Address: Postal Code: Home Phone: Business Phone: Email: DOB: Occupation: Referred By: Other Healthcare Practitioners: Medications you now take: Past falls

How to fill out massage therapy intake form

To fill out a massage therapy intake form, follow these steps:

1. Start by providing your basic personal information such as your name, contact details, and date of birth. This information helps the therapist understand who you are and how to reach you.
2. Next, provide relevant medical history details. This includes any underlying medical conditions, injuries, or surgeries you have had in the past. It is important to disclose this information as it can impact the type of massage techniques used and ensure your safety during the session.
3. Indicate any current medications or supplements you are taking. This information helps the therapist be aware of any potential interactions or contraindications that may affect the massage.
4. Communicate your specific goals or reasons for seeking massage therapy. For example, if you are experiencing muscle tension or stress, it is important to mention this so the therapist can tailor the session accordingly.
5. Specify any areas of concern or preferred techniques. If you have specific areas of your body that require attention or if you prefer a certain massage technique such as Swedish or deep tissue, make sure to mention this on the form.
6. Provide informed consent by acknowledging that you understand the purpose and potential benefits or risks of massage therapy. This helps protect both you and the therapist by ensuring clear communication and understanding.
7. Lastly, sign and date the form to indicate your agreement and completion of the intake process.

Massage therapy intake forms are typically required for anyone seeking massage therapy services. Whether you are a first-time client or a regular, these forms help the therapist gain a comprehensive understanding of your health history, goals, and preferences. By having this information readily available, the therapist can customize their approach to meet your specific needs and provide a safe and effective massage experience.

For pdfFiller’s FAQs

What is massage therapy intake form?

The massage therapy intake form is a document used by massage therapists to gather important information from clients before providing a massage treatment.

Who is required to file massage therapy intake form?

Massage therapists are required to have their clients fill out the massage therapy intake form before proceeding with any treatment.

How to fill out massage therapy intake form?

To fill out the massage therapy intake form, clients need to provide their personal information, medical history, and any specific concerns or preferences they may have.

What is the purpose of massage therapy intake form?

The purpose of the massage therapy intake form is to ensure the therapist has a comprehensive understanding of the client's health history and goals for the massage session.

What information must be reported on massage therapy intake form?

Clients must report their personal information, medical history, current health conditions, medications they are taking, and any specific areas of concern or focus for the massage treatment.

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