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The Healing ZONE Therapeutic Massage www.thehealingzonemassage.com ONCOLOGY MASSAGE INTAKE FORM Name: DOB: / / Address: Email: Phone: (cell) 1. Have you had Massage Therapy before? Yes No If yes,

How to fill out oncology massage intake form

How to fill out an oncology massage intake form:

1. Start by providing your personal information: This typically includes your full name, contact details, date of birth, and any relevant medical history. Ensure that you provide accurate information to help the massage therapist tailor the session to your needs.
2. Indicate your primary goal for seeking oncology massage: Specify the reason behind your decision to receive this type of massage. Common goals include pain relief, relaxation, stress reduction, or improving overall well-being.
3. Disclose any diagnosed medical conditions: It is crucial to inform the massage therapist about any existing medical conditions, such as cancer, heart conditions, diabetes, or autoimmune disorders. This information allows the therapist to adapt the massage techniques accordingly and ensure your safety during the session.
4. Communicate any ongoing treatments or medications: Inform the therapist about any ongoing treatments like chemotherapy or radiation therapy. Also, disclose any medications you are currently taking, including pain medications, blood thinners, or any other relevant medications that could potentially impact the massage.
5. Describe your current physical condition: Mention any symptoms or concerns you are experiencing related to your medical condition. This may include pain, limited range of motion, fatigue, or emotional distress. Providing this information will help the therapist understand your specific needs and plan the massage accordingly.
6. Discuss any previous experiences with massage therapy: If you have received massages in the past, indicate whether you had any positive or negative reactions. This knowledge allows the therapist to adjust the session and ensure your comfort and safety.
7. Sign and date the form: By signing the intake form, you acknowledge that the information provided is accurate to the best of your knowledge. You also consent to the massage therapy session and declare that you have understood all the instructions and potential benefits and risks associated with the treatment.

Who needs an oncology massage intake form:

1. Individuals undergoing cancer treatment: Oncology massage is specifically tailored for individuals who are currently undergoing or have previously undergone cancer treatment. The intake form helps the massage therapist understand the unique needs and challenges of these clients, ensuring a safe and effective session.
2. Cancer survivors: Even after completing cancer treatment, survivors may still benefit from oncology massage. The intake form allows them to provide information about their medical history, current symptoms, and any ongoing treatments they may be receiving.
3. People with a history of cancer: Those who have experienced cancer in the past, even if they are currently in remission or cancer-free, may still require an oncology massage intake form. This provides the therapist with an overview of their medical history and any long-term effects of their cancer journey.

Remember, the oncology massage intake form serves as a crucial communication tool between the client and the therapist. It ensures that the massage session is personalized, safe, and effective, taking into consideration the client's unique medical condition and history.

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What is oncology massage intake form?

Oncology massage intake form is a document designed to gather information about a patient's medical history, current health condition, and specific needs related to receiving massage therapy during cancer treatment.

Who is required to file oncology massage intake form?

Patients who are undergoing cancer treatment or have a history of cancer are required to file an oncology massage intake form before receiving massage therapy.

How to fill out oncology massage intake form?

To fill out an oncology massage intake form, patients must provide accurate and detailed information about their medical history, current health condition, and any specific concerns or preferences related to massage therapy.

What is the purpose of oncology massage intake form?

The purpose of oncology massage intake form is to ensure that massage therapists have a comprehensive understanding of a patient's health status and treatment needs in order to provide safe and effective massage therapy during cancer treatment.

What information must be reported on oncology massage intake form?

Information that must be reported on an oncology massage intake form includes medical history, current health condition, medications being taken, any side effects of cancer treatment, and specific areas of concern or sensitivity.