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Vt TTX Pregnancy Massage Intake Form Date: Name: Birthday: / / Address: City: State: Zip: Home Phone: Work: Cell: Email: Date of first massage appointment Expected due date Number of pregnancies Number
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How to fill out and perinatal therapeutic massage

01
Find a certified perinatal massage therapist.
02
Schedule an appointment with the therapist.
03
Communicate your specific needs and concerns to the therapist.
04
Prepare yourself mentally and physically for the massage.
05
Arrive at the appointment on time.
06
Undress to your comfort level and lie on the massage table.
07
Relax and breathe deeply as the therapist applies appropriate massage techniques.
08
Communicate any discomfort or pain during the massage.
09
Let the therapist guide you through any necessary position changes.
10
Take your time getting up from the table after the massage is finished.
11
Schedule regular appointments for ongoing perinatal therapeutic massage.

Who needs and perinatal therapeutic massage?

01
Pregnant women who want to relieve pregnancy-related discomforts such as back pain, leg cramps, and swelling.
02
Women who are experiencing anxiety or stress related to pregnancy.
03
Women who have specific medical conditions during pregnancy that may benefit from therapeutic massage, such as sciatica or gestational diabetes.
04
Women who want to promote relaxation and improve overall well-being during their pregnancy journey.
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Perinatal therapeutic massage is a specialized form of massage therapy designed to support women during pregnancy and postpartum recovery, providing relief from physical discomfort and promoting emotional well-being.
Individuals seeking to practice perinatal therapeutic massage may need to file with relevant health or massage therapy boards, depending on local regulations and licensure requirements.
To fill out a perinatal therapeutic massage application or form, one typically needs to provide personal information, education and training credentials, any applicable certifications, and details regarding the practice.
The purpose of perinatal therapeutic massage is to alleviate discomfort related to pregnancy, enhance relaxation, decrease anxiety, and support overall health and wellness for expectant and new mothers.
Reported information generally includes client demographic data, session details, techniques used, outcomes, and any specific health concerns addressed during the massage.
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