
Get the free Patient History for Massage - Rejuvenate
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MASSAGE MEDICAL HISTORY Client Name: DOB/Age: / Occupation: Marital Status: # of Children Current Medications (list vitamins, birth control pills, minerals as well): Check any that apply: Allergies:
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How to fill out patient history for massage

How to fill out patient history for massage
01
Start by gathering basic information about the patient, such as their name, age, and contact details.
02
Ask the patient about their medical history, including any past injuries or surgeries.
03
Inquire about any current medical conditions or chronic illnesses the patient may have.
04
Ask the patient about their current medications, including any over-the-counter drugs or supplements they are taking.
05
Find out if the patient has any known allergies or sensitivities.
06
Ask the patient about their lifestyle habits, such as exercise routines, dietary preferences, and sleep patterns.
07
Inquire about the reason for the massage and any specific areas of concern the patient may have.
08
Document any previous experience with massage therapy, including the results and effectiveness.
09
Ask the patient about their expectations and goals for the massage session.
10
Make sure to obtain the patient's consent to proceed with the massage therapy.
Who needs patient history for massage?
01
Anyone seeking massage therapy services should provide their patient history.
02
Patients with pre-existing medical conditions or injuries may especially benefit from providing their history.
03
Individuals who are currently taking medication or have known allergies should also share their patient history.
04
Even individuals without specific medical conditions can benefit from sharing their lifestyle habits and preferences for a more personalized massage experience.
05
Providing patient history helps the massage therapist ensure safe and effective treatment.
06
It allows them to tailor the massage session to the individual's needs and preferences.
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What is patient history for massage?
Patient history for massage is a record of the client's health information, including medical conditions, injuries, allergies, and medications.
Who is required to file patient history for massage?
Massage therapists are required to collect and file patient history for each client before beginning a massage session.
How to fill out patient history for massage?
Patient history for massage can be filled out by the client on a form provided by the massage therapist or through an online portal.
What is the purpose of patient history for massage?
The purpose of patient history for massage is to ensure the safety and well-being of the client during the massage session by understanding any health conditions or concerns.
What information must be reported on patient history for massage?
Patient history for massage should include information about medical conditions, injuries, allergies, medications, surgeries, and any areas of pain or discomfort.
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