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Massage Intake Form Last Name Hm Phone First Name M.I. Wk Phone Mailing Address Cell Phone City State Zip Email Address Occupation Date of Birth / / Age Male Female Marital Status:. Injury Treatment?
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How to fill out massage intake form
How to fill out a massage intake form:
01
Start by providing your personal information, including your full name, contact details, and date of birth.
02
Indicate any medical conditions or injuries you currently have, as well as any medications you are taking. This will help the massage therapist tailor the session to your specific needs and ensure your safety.
03
Specify any specific areas of your body that require attention or any areas that should be avoided during the massage.
04
Communicate your preferences regarding the massage pressure – whether you prefer a light, medium, or deep pressure.
05
Mention any allergies you have to oils, lotions, or any other products that might be used during the massage.
06
Answer questions regarding your lifestyle, such as your occupation and any physical activities or sports you participate in. This information will assist the massage therapist in understanding your body's needs and potential sources of muscle tension or stress.
07
Provide relevant information about your overall health, including any chronic conditions, surgeries, or previous injuries that may affect the massage treatment.
08
Sign and date the form, indicating that you understand the information provided and that you consent to receiving the massage treatment.
Who needs a massage intake form?
01
Individuals who have never received a massage before and are visiting a particular massage therapist for the first time.
02
Individuals who are seeking a specialized massage treatment, such as prenatal massage or sports massage, as their specific needs may differ from a typical relaxation massage.
03
People with underlying health conditions or injuries that require special attention during the massage session. This information is crucial for the massage therapist to provide a safe and effective treatment.
04
Individuals who want to ensure that their massage therapist has a complete understanding of their health history, lifestyle, and personal preferences to enhance the overall massage experience.
05
Anyone who wants to establish clear communication and trust with their massage therapist by openly sharing relevant information about their body, health, and massage preferences.
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What is massage intake form?
Massage intake form is a document filled out by clients before receiving a massage, providing important information about their health history, goals for the session, and any specific areas of concern.
Who is required to file massage intake form?
Clients who are receiving a massage are required to fill out a massage intake form.
How to fill out massage intake form?
To fill out a massage intake form, clients can simply follow the instructions provided on the form, and provide accurate information about their health history and massage preferences.
What is the purpose of massage intake form?
The purpose of the massage intake form is to help the massage therapist understand the client's specific health needs, goals for the session, and any areas of concern, in order to provide a safe and effective massage experience.
What information must be reported on massage intake form?
The information that must be reported on a massage intake form typically includes the client's contact information, health history, any injuries or medical conditions, goals for the session, and areas of the body requiring special attention.
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