Get the free Massage Therapy Intake Form - The Wellness Center

Name:Phone:Date of Birth:Address:City:State:Occupation:Age:Zip:Gender:Referred by: Emergency Contact:Phone:Please take a moment to carefully complete the following information and sign where indicated.

How to fill out massage therapy intake form

How to fill out massage therapy intake form

1. Start by entering your personal information such as name, address, phone number, and email.
2. Provide details about your medical history including any past injuries or conditions.
3. Indicate any current medications or supplements you are taking.
4. Specify any allergies or sensitivities you have to certain products or ingredients.
5. Mention any specific goals or concerns you have for the massage therapy session.
6. Include information about your preferred massage techniques or pressure preferences.
7. Disclose any areas of your body that are experiencing pain or discomfort.
8. Provide information about any recent surgeries or medical procedures you've undergone.
9. Mention any other relevant information that you believe the massage therapist should know.
10. Sign and date the form to acknowledge the accuracy of the provided information.

Who needs massage therapy intake form?

1. Anyone who visits a massage therapist for the first time or on a regular basis needs to fill out a massage therapy intake form.
2. Massage therapy intake forms are necessary to gather important information about the client's health, medical history, and specific requirements.
3. This form ensures that the massage therapist is aware of any existing medical conditions, injuries, or allergies that may affect the treatment.
4. It also helps the therapist in customizing the massage session according to the client's preferences and goals.
5. Filling out a massage therapy intake form is essential for both the client's safety and to provide effective and personalized massage therapy.

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What is massage therapy intake form?

Massage therapy intake form is a document that collects information about a client's medical history, current conditions, and goals for the massage session.

Who is required to file massage therapy intake form?

Anyone receiving a massage therapy session is required to fill out a massage therapy intake form.

How to fill out massage therapy intake form?

To fill out a massage therapy intake form, the client should provide accurate and detailed information about their medical history, current health conditions, and goals for the massage session.

What is the purpose of massage therapy intake form?

The purpose of a massage therapy intake form is to ensure the safety of the client and help the massage therapist tailor the session to meet the client's specific needs.

What information must be reported on massage therapy intake form?

Information such as medical history, current health conditions, medications, allergies, and goals for the massage session must be reported on a massage therapy intake form.