Get the free Massage Intake Form - Coberly Chiropractic Inc

3025 N. Taft Avenue, Suite A Loveland, Colorado 80538 Phone: 970.203.0621 Fax: 970.461.2462 Massage Intake Form Please complete this information to help the therapist get to know you and so your therapy

How to fill out massage intake form

How to fill out a massage intake form?

1. Start by providing your personal information, including your full name, contact details, and date of birth. This information helps the massage therapist keep track of your records and ensure they have accurate contact information.
2. Next, you may be asked to provide details about any medical conditions or injuries you have. It's essential to be honest and thorough in this section to help the massage therapist understand your health history and provide appropriate care.
3. The form might also ask about your current medications, allergies, or any surgeries you have undergone. This information is crucial as certain medications, allergies, or recent surgeries may affect the type of massage techniques used or areas of your body that need to be avoided.
4. You might be asked about your lifestyle, such as your occupation, physical activities, and any specific concerns or goals you have for the massage session. This information helps the massage therapist tailor the session to your specific needs and preferences.
5. The intake form may inquire about your previous experience with massages or other alternative therapies. Mention any positive or negative experiences you've had, as well as any specific techniques that you enjoy or dislike.
6. You might be asked to indicate your preference for the pressure of the massage, whether you prefer a lighter touch or more intense pressure. This will help the massage therapist adjust their techniques accordingly.
7. Finally, the form may include a section for you to sign, acknowledging that you have provided accurate information and giving your consent for the massage session.

Who needs a massage intake form?

1. Individuals receiving professional massages from a licensed massage therapist often need to fill out a massage intake form. This form allows the therapist to gather essential information about the client's health history, preferences, and any specific concerns or goals they have for the massage session.
2. Massage intake forms are valuable for both new clients and regular clients. For new clients, it helps the therapist gather crucial information before providing the massage. For regular clients, the form can be used to track any changes in their health or preferences over time.
3. Massage intake forms are usually required in reputable massage establishments and practices as they prioritize client safety, tailor the session to individual needs, and maintain accurate records for reference in future sessions.

Note: It's important to note that specific requirements for massage intake forms may vary between different massage therapists and establishments. It is advisable to contact your massage therapist or the facility in advance to inquire about their specific intake form process.

For pdfFiller’s FAQs

What is massage intake form?

The massage intake form is a document that collects information about a client's health history, goals, and preferences before they receive a massage.

Who is required to file massage intake form?

Clients who are receiving a massage for the first time or have not received a massage in a long time are required to fill out a massage intake form.

How to fill out massage intake form?

To fill out a massage intake form, clients need to provide accurate information about their health history, goals for the massage, and any preferences or concerns they may have.

What is the purpose of massage intake form?

The purpose of the massage intake form is to ensure that the massage therapist has a clear understanding of the client's health history, goals, and preferences so they can provide a safe and effective massage.

What information must be reported on massage intake form?

Information that must be reported on a massage intake form includes the client's contact information, health history, current medications, goals for the massage, and any allergies or sensitivities.

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