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CONFIDENTIAL PATIENT HISTORY FORM Registered Massage Therapy Clinic SAFE, SMART, EFFECTIVE HEALTH CARE 2298 168th Street, Surrey, BC www.karenjsmithandassociates.com 604.536.5666 Birthdate Name (month
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How to fill out a registered massage therapy clinic form:

01
Start by providing your personal information such as your full name, date of birth, and contact details. This information is necessary for identification and communication purposes.
02
Next, specify the reason for seeking massage therapy at the clinic. Whether it's for relaxation, pain relief, sports injury, or any other specific condition, clearly mention your primary concern.
03
Indicate any relevant medical history or pre-existing conditions that the massage therapist should be aware of. This may include chronic illnesses, surgeries, allergies, or any other health-related information.
04
Specify any medications or supplements you are currently taking, as certain medications may have an impact on the massage therapy treatment.
05
If you have any specific preferences or limitations for the massage session, mention them. For example, you might want a female therapist, prefer a certain type of massage technique, or have any areas of your body that are sensitive or require extra attention.
06
Provide information about any previous experience with massage therapy or other alternative therapies, as it helps the therapist understand your expectations and tailor the treatment accordingly.
07
Before signing the form, make sure to read and understand the clinic's policies and procedures regarding cancellation, payment, and confidentiality.
08
Finally, sign and date the form to acknowledge that the information provided is accurate to the best of your knowledge.

Who needs registered massage therapy clinic:

01
Individuals experiencing muscular tension, soreness, or pain can benefit greatly from registered massage therapy. Massage therapy helps to relax muscles, improve blood circulation, and alleviate pain and discomfort.
02
Athletes or individuals involved in sports activities can benefit from registered massage therapy as it can help prevent injuries, enhance performance, and speed up recovery.
03
People with chronic conditions such as arthritis, fibromyalgia, or back pain can find relief through registered massage therapy. Massage techniques tailored to their specific condition can help reduce pain and improve mobility.
04
Individuals seeking relaxation and stress relief can indulge in registered massage therapy as it promotes relaxation, reduces anxiety, and improves overall well-being.
05
Pregnant women can benefit from specialized prenatal massage therapy, which can help alleviate pregnancy-related discomfort, reduce swelling, and promote relaxation.
06
Individuals with poor posture, desk jobs, or repetitive strain injuries can find relief through registered massage therapy. It can help release tension, improve posture, and address the underlying musculoskeletal issues.
Overall, registered massage therapy clinics cater to individuals seeking various therapeutic benefits, pain relief, relaxation, and overall improvement in their physical and mental well-being.
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Registered massage therapy clinic is a facility where professional massage therapists provide therapeutic massage services to clients for various health and wellness reasons.
Registered massage therapy clinics are required to be filed by the owners or operators of the clinic, as well as the licensed massage therapists who work at the clinic.
To fill out registered massage therapy clinic, the owner or operator must provide information about the clinic location, services offered, licensed therapists employed, and any other relevant details.
The purpose of registered massage therapy clinic is to provide a safe and professional environment for clients to receive therapeutic massage treatments from licensed professionals.
Information that must be reported on registered massage therapy clinic includes clinic name, address, contact information, list of services provided, and names of licensed therapists.
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