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1. MASSAGE INTAKE FORM ? Please print clearly! Today's Date: / /. Name: Date of Birth: / /. Address: ... Emergency Contact Name: Number: How did you hear about Indy Sports Massage?
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How to fill out massage intake form please

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How to fill out a massage intake form:

01
Start by providing your personal information such as your name, address, phone number, and email address. This information is important for the therapist to contact you and to keep records of your sessions.
02
Next, indicate any medical conditions or allergies that you have. This is crucial for the therapist to be aware of, as certain conditions or allergies may require special attention or caution during the massage.
03
Specify any medications or supplements you are currently taking. Certain medications can interact with massage techniques, so it's important for the therapist to know about them to ensure your safety and well-being during the session.
04
Indicate any areas of concern or specific goals you have for the massage. This can include mentioning specific body parts that you would like the therapist to focus on or areas that may be experiencing pain or discomfort.
05
Provide information about your previous experience with massage therapy. Mention any past injuries or surgeries that may affect the way you respond to certain techniques.
06
Lastly, sign and date the form to acknowledge that the information you provided is accurate and complete.

Who needs a massage intake form:

01
Anyone who is new to a massage therapist or establishment will typically need to fill out a massage intake form. This allows the therapist to gather important information about the client's health history, preferences, and any concerns or goals they may have.
02
Returning clients may also need to fill out an updated intake form if there have been any significant changes in their health or personal information since their last visit. This ensures that the therapist has up-to-date and accurate information to provide the best possible care.
In summary, filling out a massage intake form involves providing personal information, disclosing any medical conditions or allergies, listing medications and supplements, specifying areas of concern, sharing previous experience with massage, and signing the form. New clients and returning clients with significant changes in their information need to fill out a massage intake form.
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The massage intake form is a document that collects information from clients before a massage therapy session.
All clients receiving massage therapy services are required to fill out a massage intake form.
Clients can fill out the massage intake form by providing their personal information, medical history, and any specific concerns or preferences for the massage session.
The purpose of the massage intake form is to ensure that the therapist has relevant information about the client's health and preferences to provide a safe and effective massage.
Clients must report their personal information, medical history, current health conditions, medications, and any specific concerns or preferences for the massage session.
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