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Eva Blum, CAST Massage Intake Format: NameAddressCity, Province Postal CodeEmergency Contact Name Date of BirthOccupationTelephoneEmergency Phone #Are you currently under the care of a health professional?
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01
Begin by entering your personal information such as your name, address, phone number, and date of birth.
02
Indicate any medical conditions or injuries that you currently have or have had in the past. Provide details such as the diagnosis, treatment received, and any medications you are currently taking.
03
Specify any allergies or sensitivities that you have, especially to oils, lotions, or any other products that may be used during the massage.
04
Describe your current physical condition, including any areas of pain, tension, or discomfort that you would like the massage therapist to focus on.
05
Mention any specific goals or expectations you have for the massage session, such as relaxation, pain relief, or improved flexibility.
06
Provide information about your lifestyle and activities, such as your occupation, exercise routine, and hobbies, as this can help the therapist tailor the massage to your needs.
07
Note any preferences you may have regarding the massage, such as the pressure level, areas to avoid, or the use of specific techniques.
08
Review the form for accuracy and completeness before submitting it.

Who needs massage intake form 2016-06-21docx?

01
Anyone who is seeking a massage therapy session needs to fill out the massage intake form. This form allows the massage therapist to gather essential information about the client's health history, goals, and preferences. It ensures that the massage is safe and tailored to the individual's needs. Even if you have received a massage in the past, filling out the intake form for each session is important as it helps the therapist stay updated on any changes in your health or preferences.
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It is a form used to gather information about a client's medical history, concerns, and preferences before receiving a massage.
Clients who are receiving a massage therapy session are required to fill out the intake form.
Clients need to provide accurate information about their medical history, current health conditions, and any specific concerns they have.
The purpose of the form is to help massage therapists understand their clients' needs and provide a safe and effective treatment.
Clients need to report any current health conditions, medications they are taking, injuries, and areas of the body that need special attention during the massage.
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