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MASSAGE INTAKE FORM Date: Tech # Clients name: First Last Male Female Emergency phone #: Name What is the primary reason for this treatment? Relaxation Emotional pain Muscle pain If you have muscle
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How to fill out massage intake form

How to fill out a massage intake form:
01
Start by providing your personal information. This usually includes your name, address, phone number, and email. It is important to provide accurate and up-to-date contact information so that the therapist can reach you if needed.
02
Next, you may be asked about your medical history. It is crucial to disclose any relevant health conditions, injuries, or surgeries you have had in the past. This information helps the therapist understand your overall health and make any necessary modifications to the massage session.
03
The form might also ask about any medications you are currently taking. This information is important as certain medications can have an impact on the massage treatment or exclude certain techniques.
04
You may be asked to indicate your goals or reasons for seeking a massage. Whether you are looking to relax, relieve pain, reduce stress, or address specific issues, expressing your expectations will help the therapist tailor the session to your needs.
05
Some intake forms include questions about your lifestyle and habits. This may cover topics like exercise routines, dietary choices, sleep patterns, and stress levels. Providing this information helps the therapist understand factors that may be contributing to your wellness or discomfort.
06
In many cases, the intake form will also ask about your preferences for the massage session. For example, you may be asked to indicate your preferred pressure level, areas of focus, or any areas you prefer the therapist to avoid.
Who needs a massage intake form?
01
Individuals seeking professional massages: Massage intake forms are typically required for clients who want to receive massages from licensed massage therapists. It helps the therapist to understand the client's needs, health history, and preferences.
02
Massage therapists: Massage intake forms also benefit the therapists themselves. By gathering information about their clients' health history and specific concerns, therapists can ensure the safety and effectiveness of the massage session.
03
Massage therapy establishments: Massage intake forms are crucial for establishments to keep records of their clients and maintain a professional relationship. These forms contribute to a comprehensive client profile and are often required for legal and liability purposes.
Remember, the content provided here is just a general guideline, and each massage therapy practice may have their own specific intake form and process. It is always recommended to follow the instructions provided by the specific massage therapist or establishment you are visiting.
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What is massage intake form?
A massage intake form is a document that clients fill out before receiving a massage to provide important information about their health, preferences, and concerns.
Who is required to file massage intake form?
Clients who are receiving a massage are required to fill out a massage intake form.
How to fill out massage intake form?
Clients can fill out a massage intake form by providing accurate information about their health history, any medical conditions, preferences for the massage, and any specific areas of concern.
What is the purpose of massage intake form?
The purpose of a massage intake form is to gather important information about the client's health and preferences in order to provide a safe and effective massage therapy session.
What information must be reported on massage intake form?
Information such as health history, medical conditions, preferences for the massage, specific areas of concern, and any allergies or sensitivities must be reported on a massage intake form.
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