Get the free Massage Therapy Intake Form - Hawthorn Clinic

Massage Therapy Intake and Consent Form Name: Age: Date: Address: Phone: H: Wk: Cell: Email: Occupation: Medical Doctor: Referred by: Date of Birth: Health Benefits Insurance Company: Policy # ID#:

How to fill out massage therapy intake form

How to fill out massage therapy intake form

1. Start by writing your personal information, such as name, address, and contact number.
2. Indicate your medical history, including any allergies, current medications, and any past or existing health conditions.
3. Mention any specific areas of concern or issues you would like the massage therapist to focus on during the session.
4. Provide details regarding any previous experiences with massage therapy, including what techniques worked well for you.
5. Disclose any recent injuries or surgeries that may affect the massage session.
6. Answer any additional questions related to your health, lifestyle, or preferences that may be included in the intake form.
7. Review the completed form for accuracy and make any necessary corrections.
8. Sign and date the form to indicate your consent and agreement to the information provided.
9. Submit the intake form to the massage therapist before the start of your session.

Who needs massage therapy intake form?

1. Massage therapy intake forms are typically needed by individuals who are seeking massage therapy services from a professional massage therapist.
2. These forms help the massage therapist gather essential information about the client's health history, current conditions, and specific concerns.
3. By filling out an intake form, clients can ensure that the massage therapist has all the necessary information to provide a safe and tailored massage experience.
4. Massage therapy intake forms are commonly used in spas, wellness centers, chiropractic offices, and other healthcare facilities that offer massage therapy services.

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What is massage therapy intake form?

The massage therapy intake form is a document that gathers essential information about a client before a massage therapy session.

Who is required to file massage therapy intake form?

Massage therapists are required to have their clients fill out the intake form before beginning a session.

How to fill out massage therapy intake form?

Clients must provide accurate and detailed information about their health history, any current medical conditions, and their massage preferences.

What is the purpose of massage therapy intake form?

The purpose of the massage therapy intake form is to ensure the safety and well-being of the client during the massage session.

What information must be reported on massage therapy intake form?

Information such as medical history, medications being taken, areas of the body requiring attention, and any allergies must be reported on the intake form.