
Get the free Massage Intake Form - Union Center for Healing
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Union Center For Healing LLC Confidential MASSAGE INTAKE FORM Date: Name: Date of Birth: Address: City: State: Zip: Is it ok to contact you via email? Yes: No: Email: Home Phone: Work: Cell: Gender:
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How to fill out massage intake form

How to fill out a massage intake form:
01
Begin by providing your personal information such as your full name, address, contact number, and email address.
02
Next, indicate any medical conditions or allergies that you may have. This is important for the therapist to be aware of, as it can affect the type of massage techniques used or any potential contraindications.
03
Inquire about your current health status, including any recent surgeries, illnesses, or injuries. This information helps the therapist assess your overall well-being and tailor the massage to your specific needs.
04
Specify the reason for your massage session. Whether you seek relaxation, stress relief, pain management, or injury rehabilitation, it is crucial to communicate your primary goal to the therapist.
05
Indicate your preferences regarding the pressure, areas of focus, and any other specific requests you may have during the massage. This helps customize the experience and ensures your comfort and satisfaction.
06
Communicate any previous massage experiences, both positive and negative, to help the therapist understand your expectations and provide an optimal session.
07
Finally, read and sign any consent or waiver forms that may be included in the intake form. This step acknowledges your understanding of the massage process and your consent to receive the treatment.
Who needs a massage intake form?
01
Individuals seeking professional massage therapy services.
02
People with specific medical conditions, injuries, or allergies that may affect the massage session.
03
Those who have preferences regarding pressure, focus areas, or any other specific requests.
04
Clients who wish to ensure a customized and safe massage experience.
05
Anyone who wants to communicate their goals, expectations, and concerns to the therapist for an effective and satisfying session.
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What is massage intake form?
A massage intake form is a document used by massage therapists to collect important information about their clients, including health history, any injuries or conditions, and goals for the massage session.
Who is required to file massage intake form?
All clients receiving a massage from a licensed massage therapist are typically required to fill out a massage intake form before their session.
How to fill out massage intake form?
Clients can typically fill out the massage intake form by providing their personal information, health history, any injuries or conditions, and goals for the massage session.
What is the purpose of massage intake form?
The purpose of a massage intake form is to help the massage therapist understand the client's needs, health history, and goals for the session in order to provide a safe and effective massage.
What information must be reported on massage intake form?
Information such as personal details, health history, injuries or conditions, medication usage, and goals for the massage session must be reported on the massage intake form.
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