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Massage Intake Pregnancy Name: Phone (home): (cell): Address: City State Zip Email: Date of first massage appointment: Expected due date: No. of pregnancies: Number of births: Prenatal care provider:
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How to fill out massage intake pregnancydoc
How to fill out massage intake pregnancydoc:
01
Start by entering your personal information, such as your name, contact details, and date of birth.
02
Provide information about your pregnancy, including the number of weeks, any complications, and your due date.
03
Specify any medical conditions or concerns you may have related to your pregnancy.
04
Indicate any specific areas of discomfort or pain that you would like the massage therapist to focus on during the session.
05
Mention any previous experience with prenatal massage or any other massage therapies.
06
Provide information about any allergies or sensitivities to oils or lotions that may be used during the massage.
07
Answer any additional questions or concerns that may be included in the intake form.
08
Sign and date the form, indicating that all the information provided is accurate and truthful.
Who needs massage intake pregnancydoc?
01
Pregnant women who are considering or have scheduled a prenatal massage.
02
Women who have complications during their pregnancy and may require special attention during the massage.
03
Individuals who want to ensure that the massage therapist is aware of their medical history and any concerns related to their pregnancy.
04
Women who want to discuss their comfort levels, specific pregnancy symptoms, or areas of focus with the massage therapist beforehand.
05
Those who have allergies or sensitivities to certain products used during the massage and need to communicate this to the therapist.
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What is massage intake pregnancydoc?
Massage intake pregnancydoc is a document used to gather relevant information about a pregnant client before receiving a massage.
Who is required to file massage intake pregnancydoc?
Massage therapists or practitioners who provide massages to pregnant clients are required to fill out and keep a massage intake pregnancydoc on file.
How to fill out massage intake pregnancydoc?
To fill out a massage intake pregnancydoc, the therapist will ask the client for information such as medical history, pregnancy details, any current health issues, and consent for treatment.
What is the purpose of massage intake pregnancydoc?
The purpose of massage intake pregnancydoc is to ensure the safety and well-being of the pregnant client by understanding their specific needs and any potential risks before performing a massage.
What information must be reported on massage intake pregnancydoc?
Information such as client's medical history, pregnancy details, any current health issues, and consent for treatment must be reported on massage intake pregnancydoc.
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