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Health History Form Name: Today's Date: Referred by: Date of Birth: Phone: Email: Address: City: Zip: the Best way to contact you: Phone Text Email What are your treatment goals today (e.g., reduce
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The intake form on smithtownmassage.com is a document that clients fill out prior to receiving massage therapy services, capturing their personal information, health history, and specific needs.
All new clients and existing clients who have not updated their information or health conditions are required to fill out the intake form on smithtownmassage.com.
To fill out the intake form on smithtownmassage.com, clients should provide their personal details, medical history, and any relevant health concerns or preferences for the massage session.
The purpose of the intake form on smithtownmassage.com is to ensure that therapists have all necessary information to provide safe and effective treatment tailored to the client's individual needs.
Clients must report personal information, relevant medical history, current health conditions, and specific areas of concern or preferences regarding the massage on the intake form.
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