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Get the free Massage Information Sheet - haldimandphysio

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Registered Massage Therapy Private Massage (those with or without Extended Health Benefits) costs including H.S.T are: 30 minutes $55.00 45 minutes $65.00 1 Hour $80.00 1.5 Hours $115 1 Hour Hot Stone
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How to fill out massage information sheet

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How to Fill Out a Massage Information Sheet:

01
Start by writing your full name at the top of the form. Include your first name, middle initial (if applicable), and last name. This ensures that the therapist can properly identify you.
02
Next, provide your date of birth. This helps the therapist confirm your age and ensure that the massage techniques used are safe for you.
03
Indicate your gender by selecting the appropriate option. This is important as it may affect the type of massage techniques used or the areas of focus during the session.
04
Provide your contact information, including your phone number and email address. This allows the therapist to reach out to you for any necessary communication.
05
Specify any allergies or sensitivities you may have. This information is crucial as certain massage products or techniques might trigger allergies or adverse reactions.
06
Mention any current or past medical conditions that could impact your massage experience. This includes conditions such as high blood pressure, heart problems, or recent surgeries.
07
If you are currently taking any medications, list them on the form. This helps the therapist better understand your overall health and adjust the massage accordingly.
08
Indicate any areas of concern or specific goals you have for the massage. If you want relief from a specific muscle pain or stress, communicate it clearly on the form.
09
Fill in the section for your medical history. Include any relevant details such as injuries or chronic conditions you have experienced in the past. This information helps the therapist tailor the massage to your needs.
10
Lastly, sign the form at the bottom to acknowledge that the provided information is accurate and complete.

Who Needs a Massage Information Sheet:

01
Individuals seeking massage therapy for relaxation and well-being.
02
People with specific health conditions or injuries who require a more targeted and therapeutic approach.
03
Anyone planning to receive a massage from a licensed or certified massage therapist.
Note: It is standard practice for massage therapists to request clients to fill out an information sheet as it ensures a safe and effective massage session tailored to each individual's unique needs.
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The massage information sheet is a document that contains important information about a massage therapy session.
Massage therapists are required to file the massage information sheet after a session.
The massage information sheet is typically filled out by the massage therapist and includes details such as client information, session duration, and techniques used.
The purpose of the massage information sheet is to document the details of a massage therapy session for record-keeping and client safety purposes.
The massage information sheet should include client's personal information, date and time of the session, duration of the session, techniques used, and any notes or recommendations.
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