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Get the free Massage Client Intake Form - SRM / Synergy Release Method

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Massage Intake Form Name Birth Date Phone Number Address City State Zip Do you currently have any injuries, disorders, diseases, or conditions?YESNOExplain Do you currently have any Pain or discomfort?
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How to fill out massage client intake form

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How to fill out massage client intake form

01
Begin by providing the massage client intake form to the client.
02
Explain to the client that they need to fill out the form to provide relevant information about their health and any specific concerns or goals for the massage.
03
Instruct the client to start by filling out their personal information, such as their name, contact details, and date of birth.
04
Ask the client to provide information about their medical history, including any past injuries, surgeries, or chronic conditions they may have.
05
Request details about the client's current medications or treatments they are undergoing.
06
Ask the client to specify any allergies or sensitivities they may have.
07
Inquire about the client's lifestyle factors, such as their occupation, physical activities, and stress levels.
08
Request the client to indicate any specific areas of the body they want the massage therapist to focus on or avoid.
09
Instruct the client to read and sign the consent and release section of the form, indicating that they understand the risks and benefits of the massage therapy.
10
Finally, collect the completed massage client intake form from the client and review it to ensure all necessary information is provided and legible.

Who needs massage client intake form?

01
Massage therapists or spas that offer professional massage services typically require clients to fill out a massage client intake form.
02
This form is necessary for both the therapist and the client as it helps the therapist understand the client's health history, any potential risks or contraindications, and the client's specific goals or concerns for the massage.
03
By having the client fill out the intake form, the therapist can tailor the massage session to meet the client's needs and ensure their safety and comfort.
04
The intake form is particularly important for clients who have specific medical conditions, injuries, or allergies, as it allows the therapist to adapt the massage techniques and avoid any potential harm.
05
Moreover, the intake form also serves as a legal document that informs the client about the terms and conditions of the massage therapy and obtains their consent for the treatment.
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A massage client intake form is a document used by massage therapists to gather essential information about a client's health history, preferences, and individual needs before a massage session.
Clients who are seeking massage therapy services are required to fill out the intake form prior to their first session.
To fill out a massage client intake form, clients should provide accurate personal information, detail any medical history or conditions, indicate any allergies, and communicate their preferences or areas of concern for the massage.
The purpose of the massage client intake form is to ensure the safety and effectiveness of the massage treatment by collecting relevant health information and personal preferences from the client.
The intake form typically requires clients to report their personal details, medical history, current medications, any allergies, and specific aims or preferences for the massage.
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