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MASSAGE / ACUPRESSURE CLIENT INFORMATION FORM Name Date: Your Occupation CLIENT MEDICAL INFORMATION (Please write on the reverse side of this page if necessary) Yes No Have you had Massage, Acupressure,
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How to fill out pure massage intake

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How to fill out pure massage intake:

01
Start by providing your personal information such as your name, contact details, and date of birth. This will help the therapist identify who you are and how to contact you.
02
Next, fill in your medical history. Include any current or past medical conditions, surgeries, injuries, or chronic pain that may affect your massage treatment. This information will help the therapist understand your specific needs and tailor the massage accordingly.
03
Specify any medications you are currently taking, including dosage and frequency. Some medications can interact with massage therapy, so it is crucial to inform your therapist to ensure your safety and well-being during the session.
04
Indicate any allergies or sensitivities you may have. This includes allergies to oils, lotions, or any other products that may be used during the massage. You want to avoid any potential allergic reactions during the treatment.
05
Describe your lifestyle and daily activities that may impact your massage therapy. If you have a physically demanding job, play sports, or engage in any repetitive motions, it is important to inform the therapist. This information will help them determine the appropriate techniques for your massage.
06
Inform the therapist about your goals and expectations for the massage. Whether you seek relaxation, pain relief, or specific focus areas, communicating your desired outcomes will assist the therapist in customizing the massage experience to meet your needs.
07
Finally, sign and date the intake form to acknowledge that all the information provided is accurate and complete. This ensures that both you and the therapist have a clear understanding of your health status and goals for the massage.

Who needs pure massage intake:

01
Individuals seeking professional massage therapy services should complete pure massage intake. This applies to both newcomers and regular clients. The intake process allows the therapist to gather essential information and provide a safe and effective treatment.
02
People with specific medical conditions or injuries may benefit from pure massage intake. By documenting their medical history and current health status, individuals with these concerns can ensure that the massage therapy is tailored to their unique needs and limitations.
03
Athletes or individuals with physically demanding lifestyles should also undergo pure massage intake. This information helps the therapist understand the demands placed on their bodies and adjust the treatment accordingly to enhance performance, prevent injuries, or aid in recovery.
Remember, pure massage intake is a vital step in ensuring a safe, personalized, and effective massage therapy experience. By providing accurate and comprehensive information, you enable the therapist to address your specific needs and deliver the desired outcomes.
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Pure massage intake is a form used to gather information about a client's health history, preferences, and any specific needs before receiving a massage.
Clients who are receiving a massage are required to fill out the pure massage intake form.
Clients can fill out the pure massage intake form by providing accurate information about their health history, preferences, and any specific needs.
The purpose of pure massage intake is to ensure that the massage therapist has all the necessary information to provide a safe and effective massage for the client.
Information such as health history, preferences, any specific needs or concerns, and contact information must be reported on the pure massage intake form.
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