Get the free Massage Intake and Agreement Form - Core Health Centers - gotcore

Massage Intake and Agreement Form Name: Date: Phone Number: () Email Address: Street Address: City: State: Zip Code: Reason for coming for massage: Groupon Code: Other: Referred by: Job/Occupation:

How to fill out massage intake and agreement

How to fill out a massage intake and agreement:

1. Begin by providing your personal information, including your name, address, phone number, and email. This information is necessary for the therapist to contact you and keep records.
2. Indicate any medical conditions or allergies you may have. It's important for the therapist to be aware of any existing health issues or allergies that may affect the massage treatment.
3. Specify any medications or supplements you are currently taking. Certain medications may have contraindications or interactions with massage therapy, so it's crucial to inform the therapist.
4. Mention any previous injuries or surgeries that might impact the massage treatment. This information helps the therapist tailor the massage techniques to suit your needs and ensure your safety.
5. Communicate your goals and expectations for the massage session. Whether you are seeking relaxation, pain relief, or specific muscle work, letting the therapist know your objectives will aid in designing the appropriate treatment plan.
6. Consent to the terms and conditions of the massage agreement. This typically includes acknowledging that the therapist is not a doctor and that massage therapy is not a replacement for medical treatment. It may also include clauses about confidentiality and cancellation policies.

Who needs a massage intake and agreement?

1. Individuals receiving their first massage: First-time clients are usually required to fill out a massage intake and agreement form to provide necessary information and consent to the treatment.
2. Returning clients with updated information: If there have been any changes in your health status, medications, or personal details since your last massage, it's essential to update the intake form so that the therapist can provide the most appropriate care.
3. Individuals seeking specialized massage treatments: If you are seeking a specific type of massage therapy, such as prenatal massage or sports massage, it is common for therapists to require an updated intake form to ensure they understand your unique needs and any potential contraindications.

Remember, the massage intake and agreement form serves to protect both the client and the therapist, ensuring a safe and effective massage experience.

For pdfFiller’s FAQs

What is massage intake and agreement?

Massage intake and agreement is a form that clients fill out before receiving a massage, it includes information about the client's health history, preferences, and a consent agreement.

Who is required to file massage intake and agreement?

Clients who are receiving a massage are required to fill out the massage intake and agreement form.

How to fill out massage intake and agreement?

Clients can fill out the massage intake and agreement form by providing accurate information about their health history, preferences, and signing the consent agreement.

What is the purpose of massage intake and agreement?

The purpose of the massage intake and agreement form is to ensure that the massage therapist has all necessary information about the client's health history and preferences, and to obtain the client's consent for the massage treatment.

What information must be reported on massage intake and agreement?

Information such as the client's health history, any allergies, preferences for the massage treatment, and a consent agreement must be reported on the massage intake and agreement form.

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