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Integrative Healing Arts Medical and Wellness Massage www.ihaholistic.usBrenda Dickinson, MBT (NY# 28956 NC# 16935)Oncology Massage Therapy Intake Form Name: Date of Birth: Address: City: State: Zip:
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Step 1: Begin by gathering all necessary medical and wellness massage forms and paperwork.
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Step 2: Read through the forms to familiarize yourself with the information required.
03
Step 3: Start by providing your personal information, such as your name, address, and contact details.
04
Step 4: Next, provide your medical history, including any pre-existing conditions or known allergies.
05
Step 5: If applicable, disclose any ongoing medications or treatments you are currently undergoing.
06
Step 6: Specify the type of massage therapy you require - medical or wellness massage.
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Step 7: If seeking medical massage, provide detailed information about the specific medical condition being treated.
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Step 8: Fill out any additional sections or questionnaires related to your health and lifestyle.
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Step 9: Carefully review the completed forms for accuracy and completeness.
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Step 10: Sign and date the forms as required, and submit them to the massage therapist or healthcare professional.

Who needs medical and wellness massage?

01
Medical massage is typically recommended for individuals suffering from specific medical conditions, such as chronic pain, injuries, or musculoskeletal disorders.
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Wellness massage, on the other hand, is suitable for anyone looking to promote relaxation, reduce stress, improve circulation, or enhance overall well-being.
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Both medical and wellness massages can benefit individuals of all ages and backgrounds, provided they do not have any medical contraindications.
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Medical and wellness massage is a type of massage therapy that is specifically designed to address health concerns and promote overall well-being.
Licensed massage therapists and healthcare professionals are usually required to file medical and wellness massage.
To fill out a medical and wellness massage, the therapist must document the client's medical history, current symptoms, and desired outcomes for the massage session.
The purpose of medical and wellness massage is to alleviate pain, reduce stress, improve circulation, and promote healing in the body.
Information such as the client's medical history, current symptoms, any contraindications, and the techniques used during the massage must be reported on medical and wellness massage.
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