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Massage Therapy New Patient History & Consent Title: ___ Given Names: ___ DOB: ___ Address: ___ Phone: ___ Occupation: ___ Email Address: ___ Emergency Contact Name: ___ Relationship to You:___ Number:___
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How to fill out massage health history form

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How to fill out massage health history form

01
Begin by providing your personal information such as your name, address, phone number, and date of birth.
02
Include any medical conditions or injuries you currently have or have had in the past.
03
List any medications you are currently taking, as well as any allergies you may have.
04
Describe your reasons for seeking a massage and any specific areas of pain or tension you would like addressed.
05
Indicate any preferences or sensitivities you have regarding the type of massage pressure, aromatherapy, or music.
06
Sign and date the form to acknowledge that all the information provided is accurate.

Who needs massage health history form?

01
Anyone seeking a massage therapy session will typically need to fill out a massage health history form. This form helps the massage therapist understand the client's medical background, preferences, and specific goals for the session.
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The massage health history form is a document that collects important information about a client's health and medical history before receiving a massage.
Clients who are scheduled to receive a massage are required to fill out the massage health history form.
Clients can fill out the massage health history form by providing accurate and detailed information about their health history, including any medical conditions or injuries.
The purpose of the massage health history form is to ensure the safety of the client during the massage therapy session by providing the therapist with relevant health information.
The massage health history form typically requires information about current medications, medical conditions, previous surgeries, allergies, and any specific areas of concern for the client.
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