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NY Dorothy Frament Massage Client Intake Form 2015-2025 free printable template

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Dorothy Fragment, LET Massage Therapist 4 Executive Park Drive, 2nd Floor, Albany, NY 12203 Phone 5182290411 Massage Client Intake Form Name: Date: / / Address: City/State/Zip: Occupation: Phone:
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How to fill out massage intake form

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How to fill out NY Dorothy Frament Massage Client Intake Form

01
Obtain the NY Dorothy Frament Massage Client Intake Form from the massage therapist's office or website.
02
Begin filling out your personal information such as your name, address, phone number, and email.
03
Provide details about your health history including any medical conditions, surgeries, and medications you are currently taking.
04
List any allergies or sensitivities you may have.
05
Specify the type of massage you are interested in and any particular areas of concern.
06
Indicate your preferred pressure level (light, medium, firm).
07
Complete any emergency contact information requested.
08
Sign and date the form to consent to the intake process and treatment.

Who needs NY Dorothy Frament Massage Client Intake Form?

01
Any client seeking massage therapy services at NY Dorothy Frament who needs to provide their health information for safe treatment.
02
Individuals with specific health concerns or conditions that require tailored massage therapy.
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Start by asking your client what their goal for treatment is. (Describe the client's goal and benchmark indicating success) (Include things like duration of sessions, number of sessions, how far apart sessions will be scheduled, and what modality to use) (Recommendations on what to do in between sessions.
Be sure to make eye contact and welcome them to your practice, asking them their name preference as you shake their hand. If they give you a name other than what's listed in your appointment schedule, like a shortened version of their full name, make sure you use what they prefer.
The first thing you'll need to collect from your client is their basic information. Their name, phone number, and emergency contact details are all staples of an intake form for a massage therapist.
Be Friendly, Yet Professional Introduce yourself, ask how the client's day is going, and ask what the client's concerns are or why they have come in today. This will help relax your nerves as you build a trust between you and your client. It will also help your client to relax and trust you as well.
Preparing Your Client for a Massage Session Introduce Yourself. Explain What To Expect During the Massage. Ask for Your Client's Medical Condition. Prepare for your Clients expected Session Mood. Confirm if Massage will be Conducted Naked or with Clothing.

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The NY Dorothy Frament Massage Client Intake Form is a document used by massage therapists in New York to collect essential information about a client's medical history, current health status, and personal details before providing massage therapy services.
Massage therapists practicing in New York are required to file the NY Dorothy Frament Massage Client Intake Form for each client before performing any massage treatment, to ensure safety and informed consent.
To fill out the NY Dorothy Frament Massage Client Intake Form, clients need to provide their personal information, contact details, medical history, current health conditions, and any medications they are taking. It is important to answer all questions honestly and thoroughly.
The purpose of the NY Dorothy Frament Massage Client Intake Form is to gather important health information that helps the massage therapist assess the client's suitability for treatment, tailor the therapy to their needs, and ensure client safety.
The information that must be reported on the NY Dorothy Frament Massage Client Intake Form includes the client's full name, contact information, medical history, current health issues, any allergies, and a list of medications being taken.
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