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MASSAGE HEALTH HISTORY Please take a moment to carefully complete the following health history questionnaire. If you have a specific medical condition or symptom, massage and bodywork may be contraindicated.
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How to fill out massage health history

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How to fill out massage health history:

01
Begin by providing your personal information such as your name, date of birth, address, and contact number.
02
Mention any existing medical conditions or health issues that you have, such as chronic pain, injuries, or allergies. This information will help the massage therapist tailor the massage session to your specific needs.
03
Indicate any medications or supplements you are currently taking, as some medications may interact with certain massage techniques or oils.
04
Note any previous surgeries or injuries that may affect the massage treatment.
05
Mention any areas on your body that are sensitive or tender, such as recent injuries or areas that should be avoided during the massage.
06
If you have any preferences for the massage session, such as the type of pressure or specific techniques you enjoy, make sure to communicate them in the health history form.
07
Finally, sign and date the health history form, acknowledging that the information provided is accurate to the best of your knowledge.

Who needs massage health history?

Anyone who is considering a massage therapy session should fill out a massage health history form. This includes individuals who are new to massage or have previous experience with it. The health history form helps the massage therapist understand your specific needs, concerns, and any potential contraindications. By providing accurate and complete information, you can ensure that the massage therapist can deliver a safe and effective treatment tailored to your individual requirements.
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Massage health history is a record of a client's medical and health information relevant to receiving massage therapy.
All individuals seeking massage therapy services are required to fill out a massage health history form.
Massage health history forms can usually be completed by providing personal information, medical history, current health conditions, and any specific concerns or goals for the massage session.
The purpose of massage health history is to ensure that the massage therapist can provide safe and effective treatment tailored to the client's individual needs and health conditions.
Information such as medical history, current medications, injuries or surgeries, allergies, and any specific areas of concern or pain should be reported on the massage health history form.
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