Pauline Vanstone Health History Form for Registered free printable template
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Date Do you have any internal pins wires artificial joints or special equipment Location CURRENT MEDICATIONS AND WHAT THEY TREAT Is there a family history of arthritis Yes No Page 1 of 3 Please indicate conditions you are experiencing or have experienced CARDIOVASCULAR DIGESTIVE / URINARY High Blood Pressure Low Blood Pressure Heart Disease Heart Attack Date Stroke Date Varicose Veins Bruise Easily Other RESPIRATORY Chronic Cough Shortness of Breath Bronchitis Asthma Emphysema INFECTIONS...
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How to fill out pauline history registered massage trial form
How to fill out Pauline Vanstone Health History Form for Registered Massage
01
Begin by filling out your personal information, including your full name, contact details, and date of birth.
02
Provide information about your emergency contact, including their name and phone number.
03
Complete the section regarding your health history, detailing any past surgeries, chronic illnesses, or significant medical conditions.
04
List any medications you are currently taking and any allergies you may have.
05
Answer questions regarding your lifestyle, including exercise habits, smoking, and alcohol consumption.
06
Indicate any past experience with massage therapy and what you hope to achieve from the sessions.
07
Review all information for accuracy and completeness before submitting the form.
Who needs Pauline Vanstone Health History Form for Registered Massage?
01
Individuals seeking registered massage therapy services.
02
Patients with specific health concerns that could benefit from massage.
03
Clients who are new to massage therapy and need to disclose their health history.
04
Anyone who has been referred for massage therapy by a healthcare professional.
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What is Pauline Vanstone Health History Form for Registered Massage?
The Pauline Vanstone Health History Form for Registered Massage is a document used to gather important health information from clients seeking registered massage therapy services.
Who is required to file Pauline Vanstone Health History Form for Registered Massage?
Any client who wishes to receive registered massage therapy must complete the Pauline Vanstone Health History Form.
How to fill out Pauline Vanstone Health History Form for Registered Massage?
To fill out the form, clients should provide accurate personal information, medical history, current health conditions, and any medications they are taking.
What is the purpose of Pauline Vanstone Health History Form for Registered Massage?
The purpose of the form is to ensure that the registered massage therapist has a comprehensive understanding of the client's health history to provide safe and effective treatment.
What information must be reported on Pauline Vanstone Health History Form for Registered Massage?
Clients must report personal details, medical history, existing health issues, allergies, current medications, and any previous treatments related to massage therapy.
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