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MASSAGE INFORMED CONSENT FORM FIRST NAME: MIDDLE: LAST: BIRTH DATE: / / PATIENTS GENDER: M F REFERRED BY: HOME PHONE: EMAIL ADDRESS: CELL PHONE: SERVICE PROVIDER: Check if you would like text messages

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How to fill out massage informed consent form

01

Begin by providing your personal information, such as your name, address, and contact details.

02

Specify the purpose of the massage and any specific areas you would like addressed.

03

Indicate any medical conditions or injuries that should be taken into consideration during the massage.

04

Review and understand the risks and benefits of the massage.

05

Sign and date the consent form to acknowledge your understanding and agreement.

06

Keep a copy of the completed consent form for your records.

Who needs massage informed consent form?

01

Anyone who wishes to receive a massage therapy treatment should fill out a massage informed consent form.

02

This form is necessary for the therapist to have a complete understanding of the client's health history, any underlying medical conditions, and the client's consent to proceed with the massage.

03

It helps ensure the safety and well-being of the client during the massage session.

04

Massage therapists may also require a consent form for legal and insurance purposes.

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What is massage informed consent form?

Massage informed consent form is a document that explains the risks and benefits of a massage therapy treatment, as well as the client's agreement to proceed with the treatment.

Who is required to file massage informed consent form?

Massage therapists are required to have clients fill out and sign the massage informed consent form before providing any treatment.

How to fill out massage informed consent form?

Clients must read and understand the information provided in the form, then sign and date the form to indicate their agreement to the terms and conditions.

What is the purpose of massage informed consent form?

The purpose of massage informed consent form is to ensure that clients are aware of the risks and benefits of massage therapy treatment, and to protect both the client and the therapist legally.

What information must be reported on massage informed consent form?

The massage informed consent form must include information about the client's medical history, any current medical conditions, allergies, medications being taken, and any specific concerns or preferences for the treatment.

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