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Get the free Massage Therapy Intake Form - Total Health Guidance

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Massage Therapy Intake Form Welcome! I would like to make your session as pleasant and as comfortable as possible. If at any time during the treatment you have questions, please let me know. Name:
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How to fill out massage therapy intake form

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How to fill out a massage therapy intake form:

01
Start by providing your personal information such as your name, address, phone number, and email address. This information is necessary for the therapist to contact you and keep records.
02
Next, fill in your date of birth and gender. This information helps the therapist better understand your specific needs and tailor the massage session accordingly.
03
Indicate any relevant medical conditions or health concerns you may have. This could include issues like allergies, injuries, chronic pain, or specific areas of discomfort. This information is crucial for the therapist to ensure your safety and provide appropriate treatment.
04
List any current medications you are taking. Medications can sometimes interact with massage therapy, so it's important for the therapist to be aware of them.
05
Provide a brief medical history, including any surgeries, accidents, or significant health events you have experienced. This information helps the therapist understand your body's unique needs and potential contraindications.
06
Specify your preferred pressure or massage techniques. If you have any preferences or specific requests for your massage session, it's essential to communicate them on the intake form.
07
Finally, sign and date the form to acknowledge that the information provided is accurate to the best of your knowledge. This signature indicates your consent for the therapist to proceed with the massage therapy session.

Who needs a massage therapy intake form?

01
Individuals seeking professional massage therapy services from licensed therapists.
02
People who want to inform the therapist about their specific health conditions or concerns.
03
Individuals undergoing massage therapy for specific purposes such as pain management, relaxation, or rehabilitation.
04
Clients who want to receive safe and effective massage therapy tailored to their needs and preferences.
05
Anyone looking for a comprehensive and personalized massage experience with full transparency and communication between the client and therapist.
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A massage therapy intake form is a document that gathers information about a client's health history, goals for the session, and any physical conditions that may affect the massage treatment.
All clients receiving massage therapy services are typically required to fill out a massage therapy intake form before their first session.
Clients can typically fill out a massage therapy intake form either online, in person at the massage therapy clinic, or by printing out the form and bringing it to their appointment.
The purpose of a massage therapy intake form is to ensure the massage therapist has a comprehensive understanding of the client's health history, needs, and any existing conditions that may impact the treatment.
Typically, a massage therapy intake form will ask for information such as general medical history, current medications, allergies, injuries, and areas of concern for the massage.
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