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HO T B T LOGY EX M FL Massage Client Intake Form Client Information SAGE AS The Old Rectory ONE FROM ST APY R HER E AT The Therapy Room Name Phone Address Postcode Email Date of Birth Occupation Emergency
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01
Begin by providing your personal information, such as your name, contact details, and date of birth. This will help the therapist identify who the consultation form belongs to.
02
Indicate any medical conditions or injuries you may have. This is crucial as it allows the therapist to tailor the massage treatment according to your specific needs and ensure your safety during the session.
03
Mention any medications you are currently taking. Certain medications can have an impact on the type or intensity of the massage that is suitable for you, so it's essential to disclose this information.
04
Specify any allergies or sensitivities you may have. Some oils or lotions used during the massage may contain ingredients that could trigger an allergic reaction, so it's crucial to inform the therapist beforehand.
05
Provide details about your general health and wellness. This includes information about your exercise routine, sleep patterns, and stress levels. These factors can influence the type of massage technique that will be most beneficial for you.
06
Communicate your preferences and expectations for the massage. Whether you prefer a specific pressure intensity, focus areas, or any specific concerns you would like the therapist to address, make sure to clearly express your needs.
07
Sign and date the form to acknowledge that the information provided is accurate and complete.

Who needs massage consultation - formrapy?

01
Individuals seeking professional massage therapy.
02
People with specific medical conditions or injuries looking for tailored massage treatments.
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Those taking medications that may affect the massage treatment.
04
Individuals with allergies or sensitivities to certain ingredients used during massages.
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Anyone looking to improve their general health and well-being through massage therapy.
06
Individuals with specific preferences or concerns that they would like the therapist to address during the session.
07
Those who prioritize their overall physical and mental wellness and want to maximize the benefits of their massage experience.
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