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MASSAGE INTAKE FORM PATIENTS PREFERRED NAME DATE COMPLETEDPatient Information Name: DOB: / / Gender: MF Home Address: Home Phone: City, State, Zip: Work Phone: Email Address: Cell Phone: I do not

How to fill out massage intake form

How to fill out massage intake form

1. Start by writing your personal information such as your name, address, and contact information.
2. Indicate the reason for the massage, whether it is for relaxation, pain relief, or any specific concern.
3. Mention your medical history, including any past injuries, surgeries, or chronic conditions.
4. Describe any current symptoms or areas of discomfort that you would like the massage therapist to address.
5. Specify any preferences or special requests for the massage session, such as pressure intensity or focus areas.
6. Fill out any additional sections related to your lifestyle, such as exercise habits or stress levels.
7. Read and sign any consent or release forms included in the intake form.
8. Double-check all the information provided and make sure it is accurate and complete.
9. Submit the filled-out massage intake form to the massage therapist or the reception desk before your appointment.

Who needs massage intake form?

1. Anyone who wishes to receive a professional massage should fill out a massage intake form.
2. This includes new clients who have never received a massage before, as well as returning clients.
3. Massage intake forms help the massage therapist understand the client's specific needs, medical history, and preferences.
4. By filling out an intake form, the client can communicate their expectations and ensure that the massage is tailored to their individual requirements.
5. It also helps the massage therapist identify any potential contraindications or concerns that may affect the treatment.
6. Overall, the massage intake form is an essential tool for both the client and the therapist to ensure a safe and effective massage experience.

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What is massage intake form?

The massage intake form is a document that collects essential information about a client's medical history, preferences, and any existing conditions before the massage session begins.

Who is required to file massage intake form?

All clients who are receiving a massage therapy session are typically required to fill out a massage intake form.

How to fill out massage intake form?

Clients can fill out the massage intake form by providing accurate information about their medical history, preferences, and any existing conditions.

What is the purpose of massage intake form?

The purpose of the massage intake form is to ensure that the massage therapist has all the necessary information to provide a safe and effective treatment to the client.

What information must be reported on massage intake form?

Information such as medical history, any allergies, current medications, areas of pain/discomfort, preferred pressure level, and any specific goals for the massage should be reported on the massage intake form.