Get the free massage therapy intake form - ChiroCentric

MASSAGE THERAPY INTAKE FORM AFROCENTRIC, LLC 12620 SW 3 RD STREET, BEAVERTON, OR 97005 (503)4307371Name: Date of Birth: Address: State: Zip Code: Phone: Email: Referred By: GENERAL & MEDICAL INFORMATION

How to fill out massage therapy intake form

How to fill out massage therapy intake form

1. To fill out a massage therapy intake form, follow these steps:
2. Begin by providing your personal information such as your name, address, phone number, and email address.
3. Indicate your emergency contact information in case of any unexpected events during the massage therapy session.
4. Mention any medical conditions or injuries you may have that the therapist should be aware of.
5. Specify any medications or allergies you have that could affect the massage therapy session.
6. Provide information about your general health and lifestyle, including exercise habits, sleep patterns, and stress levels.
7. Mention any specific goals or areas of concern you would like the therapist to focus on during the session.
8. Sign and date the form to acknowledge that the information provided is accurate and complete.
9. If required, make any additional notes or requests in the designated space provided on the form.
10. That's it! You have successfully filled out a massage therapy intake form.

Who needs massage therapy intake form?

1. Massage therapy intake forms are typically needed by individuals who are seeking professional massage therapy services.
2. This can include people who want to address specific physical or emotional issues, such as muscle tension, chronic pain, stress, or anxiety.
3. Massage therapists use intake forms to gather important information about the client's health history, current conditions, and preferences.
4. This helps them tailor the massage session to the client's individual needs and ensure their safety and well-being.
5. Overall, anyone who wishes to receive a massage from a licensed massage therapist may be required to fill out an intake form.

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What is massage therapy intake form?

The massage therapy intake form is a document that new clients fill out before receiving a massage. It gathers important information about the client's health history, any areas of concern, and their preferences.

Who is required to file massage therapy intake form?

Clients who are new to a massage therapist or facility are required to fill out a massage therapy intake form.

How to fill out massage therapy intake form?

Clients can fill out the massage therapy intake form by providing accurate and detailed information about their health history, areas of concern, and any preferences they may have.

What is the purpose of massage therapy intake form?

The purpose of the massage therapy intake form is to ensure that the massage therapist has a clear understanding of the client's needs, health history, and any areas of concern before providing a massage.

What information must be reported on massage therapy intake form?

Information such as health history, areas of concern, allergies, medications, and preferences must be reported on the massage therapy intake form.