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Massage Intake Form - Oncology Contact Information Name Phone Occupation E-mail address Date of birth Next of kin contact How did you hear about us Medical Information Type of cancer and location Date of diagnosis Oncologist Treatment received and to which areas of the body Y N Surgery Y N Chemotherapy Y N Radiotherapy Pressure-related conditions Y N Fatigue Y N Easy bruising low platelets Y N Neutropenia low white cell count Y N Neuropathy fingers hands and/or feet Y N Lymph node removal...
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How to fill out massage intake form

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How to fill out massage intake form

01
Start by entering your personal information such as name, address, and contact details.
02
Provide details about your medical history, including any pre-existing conditions, injuries, or surgeries.
03
Indicate any specific concerns or areas of your body that you would like the massage therapist to focus on.
04
Describe any allergies or sensitivities to oils, lotions, or aromatherapy products.
05
Mention any medications you are currently taking, as well as dosage and frequency.
06
Specify your preferred pressure level for the massage, whether you prefer a softer or firmer touch.
07
State any preferences regarding the type of massage (Swedish, deep tissue, sports massage, etc.).
08
Include any additional information or instructions that you think the therapist should be aware of.
09
Review the completed form for accuracy and sign it to give consent for the massage therapy session.

Who needs massage intake form?

01
Anyone seeking professional massage therapy services should fill out a massage intake form.
02
Individuals with specific physical conditions or injuries can benefit from providing detailed information.
03
Clients who have allergies or sensitivities to certain massage products need to mention them in the intake form.
04
People taking medications or with underlying health concerns should disclose such information.
05
Those who want to customize their massage experience according to their preferences should fill out the form.
06
Massage therapists rely on intake forms to understand clients' needs and offer personalized treatments.
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The massage intake form is a document used by massage therapists to gather information about a client's medical history, preferences, and goals for the massage session.
Massage therapists are required to have clients fill out a massage intake form before providing any massage services.
Clients can fill out a massage intake form by providing their personal information, medical history, any injuries or conditions, and goals for the massage session.
The purpose of the massage intake form is to ensure the safety of the client and provide the massage therapist with necessary information to tailor the massage session to the client's needs.
The massage intake form should include personal information, medical history, any injuries or conditions, and goals for the massage session.
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