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Massage Intake Format: ___PATIENT INFORMATION Name ___Cell Phone # ___Email ___Home Phone # ___Date Of Birth ___AHC # ___Address ___City ___Family Doctor ___Postal Code ___Emergency Contact Name ___Phone

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How to fill out massage intake form

01

Start by providing your personal information such as name, address, phone number, and email.

02

Fill in any relevant medical history, injuries, or conditions that the massage therapist should be aware of.

03

Indicate your preferences for pressure, areas of focus, and any specific goals for the massage session.

04

Sign and date the form to acknowledge that the information provided is accurate.

Who needs massage intake form?

01

Anyone who is seeking a professional massage therapy session should fill out a massage intake form.

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What is massage intake form?

Massage intake form is a document that collects necessary information from clients before their massage therapy session.

Who is required to file massage intake form?

Massage therapists are required to have their clients fill out the massage intake form.

How to fill out massage intake form?

Clients are required to provide personal information, medical history, and any specific concerns or preferences they may have.

What is the purpose of massage intake form?

The purpose of the massage intake form is to ensure the safety of the client and customize the massage therapy session to meet their needs.

What information must be reported on massage intake form?

Information such as client's name, contact details, medical history, allergies, injuries, and specific areas of concern must be reported on the massage intake form.

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