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Massage and Bodywork Intake Form Client Information Name Date Street City Occupation Day Phone () Eve Phone () Date of Birth () State Zip Emergency Contact Name and Phone Referred By Email Massage
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How to fill out massage and bodywork intake

How to fill out massage and bodywork intake:
01
Start by providing personal information: Begin by filling out your name, address, contact number, and email address. This information is essential for the therapist to communicate and confirm appointments with you.
02
Fill out medical history: Be honest and thorough when providing your medical history. Mention any past or current medical conditions, surgeries, or injuries. Include information about any medications or supplements you are taking. This will help the therapist tailor the session according to your specific needs and avoid any potential complications.
03
Describe your current concerns: Indicate the main reason for seeking massage or bodywork therapy. Explain any specific areas of pain, tension, or discomfort you may be experiencing. Mention any relevant details about your symptoms and how they affect your daily activities or overall well-being.
04
Mention your preferences: Specify your preferences for the session, such as the type of massage or bodywork technique you prefer (e.g., Swedish, deep tissue, hot stone). Additionally, inform the therapist about your preferred pressure level, areas to focus on or avoid, and any specific techniques or modalities you have found beneficial in the past.
05
Communicate any limitations or restrictions: If you have any physical limitations, allergies, sensitivities, or other specific restrictions, make sure to mention them. This will help the therapist adapt the session to ensure your safety, comfort, and best possible results.
06
Consent and agreement: Review the terms of the consent and agreement section carefully. Typically, this section outlines the therapist's scope of practice, office policies, and client responsibilities. If you have any questions or concerns, don't hesitate to ask for clarification before signing the intake form.
Who needs massage and bodywork intake?
01
Individuals seeking massage or bodywork services: Anyone who wishes to receive professional massage or bodywork services should fill out an intake form. This is necessary to ensure that the therapist has comprehensive information about the client's health, preferences, and goals for the session.
02
First-time clients: If it is your first time visiting a particular therapist or establishment, filling out an intake form will provide them with the necessary information to tailor the session to your unique needs and ensure your safety and comfort.
03
Regular clients: Even if you have been receiving massage or bodywork regularly from the same therapist, it is important to update your intake form periodically. This will allow the therapist to stay informed about any changes in your health, preferences, or goals, ensuring they can continue to provide effective and personalized treatments.
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What is massage and bodywork intake?
Massage and bodywork intake is a form that clients fill out before receiving a massage or bodywork session. It includes information about the client's health history, goals for the session, and any specific areas of concern.
Who is required to file massage and bodywork intake?
Clients who are receiving a massage or bodywork session are required to fill out a massage and bodywork intake form.
How to fill out massage and bodywork intake?
Clients can fill out a massage and bodywork intake form by providing their personal information, health history, goals for the session, and any specific areas of concern.
What is the purpose of massage and bodywork intake?
The purpose of massage and bodywork intake is to gather important information about the client's health history and goals for the session, in order to provide a safe and effective treatment.
What information must be reported on massage and bodywork intake?
Information such as personal details, health history, goals for the session, and any specific areas of concern must be reported on a massage and bodywork intake form.
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