Get the free Prenatal Massage Intake Form - Mother Earth Massage - motherearthmassage
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Mother Earth Massage Pregnancy Intake Laura Milledge (406× 7949519 Client Name: Age Date of Birth Address: City Zip Phone: Email: Occupation: How did you learn about me? Most of my day is spent:
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How to fill out prenatal massage intake form
How to fill out a prenatal massage intake form:
01
Start by providing your personal information, such as your name, contact information, and date of birth.
02
Next, provide details about your pregnancy, including the current trimester, any complications or medical conditions, and the estimated due date.
03
Indicate any specific areas of discomfort or pain that you would like the massage therapist to focus on during the session.
04
It is important to inform the massage therapist about any allergies or sensitivities you may have, as well as any medications or supplements you are currently taking.
05
Inquire about your previous massage experience and whether you have had a prenatal massage before.
06
Discuss any existing health conditions or concerns that the massage therapist should be aware of, such as high blood pressure or gestational diabetes.
07
Finally, sign and date the form, indicating that the information provided is accurate and complete.
Who needs a prenatal massage intake form:
01
Pregnant women who are interested in receiving prenatal massage therapy.
02
Pregnant women with specific areas of discomfort or pain that could benefit from targeted massage techniques.
03
Pregnant women who have medical conditions or complications related to their pregnancy and want to ensure that the massage therapist is aware of these factors before the session.
04
Pregnant women who have allergies or sensitivities to certain oils, lotions, or techniques used during the massage.
05
Pregnant women who have had previous prenatal massages and want to provide the massage therapist with updated information about their pregnancy or relevant health changes.
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What is prenatal massage intake form?
The prenatal massage intake form is a document that collects important information about a client's health history, pregnancy status, and preferences before receiving a prenatal massage.
Who is required to file prenatal massage intake form?
Pregnant individuals who want to receive a prenatal massage are required to fill out the prenatal massage intake form.
How to fill out prenatal massage intake form?
The prenatal massage intake form can be filled out by providing accurate and detailed information about your health, pregnancy, and massage preferences.
What is the purpose of prenatal massage intake form?
The purpose of the prenatal massage intake form is to ensure the safety and well-being of the client by understanding their health history and pregnancy status before the massage.
What information must be reported on prenatal massage intake form?
Information such as medical history, current health conditions, pregnancy status, and any specific massage preferences or concerns must be reported on the prenatal massage intake form.
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