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Get the free Massage Intake Form - MTI Physical Therapy

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Client Information Form Massage Therapy Name: Birth Date: Address: City State Zip Preferred Contact Method: o (Cell) o (Email) Occupation: Referred by: Emergency contact person: Phone: yes o No Have
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How to fill out massage intake form

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How to fill out massage intake form

01
Obtain a massage intake form from the massage therapist or spa.
02
Read the instructions on the form carefully.
03
Provide accurate personal information such as name, address, phone number, and date of birth.
04
Answer questions about your medical history, current health condition, and any specific concerns or symptoms you may have.
05
Include information on any medications you are currently taking.
06
Specify any allergies or sensitivities you have to products or oils.
07
Indicate the reason for seeking massage therapy and your desired outcome.
08
Report any past injuries or surgeries that may be relevant to your massage treatment.
09
Sign and date the form, acknowledging that the information provided is true and accurate.
10
Submit the completed massage intake form to the massage therapist or spa before your scheduled appointment.

Who needs massage intake form?

01
Anyone seeking professional massage therapy should fill out a massage intake form.
02
New clients who have never received a massage from a particular therapist or spa typically need to complete an intake form.
03
Returning clients may also be required to fill out a new form if there have been significant changes to their health or personal information.
04
The massage intake form ensures that the therapist has a comprehensive understanding of the client's medical history, current health condition, and specific concerns to provide safe and effective treatment.
05
By completing the form, clients help the massage therapist tailor the session to their individual needs and address any potential contraindications or risks.
06
Overall, anyone who wants a massage that is tailored to their specific needs and ensures their safety and well-being should fill out a massage intake form.
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A massage intake form is a document that collects information about a client's health history, preferences, and any specific needs or concerns they may have before receiving a massage treatment.
Anyone receiving a massage treatment is typically required to fill out a massage intake form before their session.
To fill out a massage intake form, a client can usually provide basic personal information, health history, any current discomfort or issues, and preferences for the massage session.
The purpose of a massage intake form is to help the massage therapist understand the client's needs and health considerations before the session, in order to provide a safe and effective treatment.
Information such as personal details, health history, current health concerns, areas of discomfort, preferences for the massage session, and any contraindications must be reported on a massage intake form.
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