Get the free Massage Intake Form - Pure Wellness Company

Massage Intake Form Name Phone () DOB Address City State Zip Male Female Email: Referred by: In case of emergency: Relationship: Phone () Have you ever experienced a professional massage or body work

How to fill out massage intake form

How to fill out a massage intake form:

1. Begin by providing your personal information such as your name, address, phone number, and email address. This is essential for the therapist to have your contact details for any follow-up or future appointments.
2. Next, you may be required to mention any existing medical conditions or injuries that the massage therapist should be aware of. This is important as it helps the therapist tailor the massage treatment to your specific needs and also ensures your safety during the session.
3. You may also be asked to disclose any medications you are currently taking. This is crucial information as certain medications can have an impact on the massage treatment or may require adjustments in techniques used by the therapist.
4. Indicate your massage preferences, such as the type of massage you prefer (e.g., Swedish, deep tissue, sports massage) and any specific areas or issues you would like the therapist to focus on during the session. This helps the therapist customize the massage to best address your concerns and preferences.
5. It is important to mention any allergies or sensitivities you may have, especially if you are opting for any special oils, lotions, or aromatherapy during the massage. This ensures that the therapist can use products that are safe for you and that won't cause any adverse reactions.
6. Finally, provide any additional information or specific requests you may have. For example, if you have a preference for a male or female therapist or if there are any particular concerns or goals you have for the session.

Who needs a massage intake form?

1. Individuals seeking massage therapy for the first time: If you are new to massage therapy, it is common for therapists to ask you to fill out an intake form. This helps them gather essential information about your health, preferences, and goals for the session.
2. Returning clients: Even if you have been to the same massage therapist before, it is important to update your intake form periodically. Changes in your health, medications, or personal preferences may affect your massage treatment, and the therapist can provide the best care by staying informed.
3. Individuals with medical conditions or injuries: If you have any existing medical conditions or injuries, it is vital to fill out a massage intake form. This information allows the therapist to modify the treatment plan accordingly and ensures that the massage is safe and beneficial for you.

Remember that filling out a massage intake form is a standard practice in the massage therapy industry. It helps establish open communication between you and your therapist, ensuring that you receive a personalized and customized massage experience.

For pdfFiller’s FAQs

What is massage intake form?

Massage intake form is a document that collects important information about a client's medical history, preferences, and expectations to tailor a massage session.

Who is required to file massage intake form?

Any individual seeking a massage therapy session is typically required to fill out a massage intake form.

How to fill out massage intake form?

To fill out a massage intake form, the client needs to provide accurate and detailed information about their health history, current conditions, and preferences for the massage session.

What is the purpose of massage intake form?

The purpose of a massage intake form is to ensure that the massage therapist can provide a safe and effective treatment by understanding the client's specific needs and concerns.

What information must be reported on massage intake form?

The information reported on a massage intake form may include personal details, health history, current medical conditions, areas of pain or discomfort, and goals for the massage session.

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