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Massage Therapy Informed Consent Patient name___DOB___ Date___ Reason for appointment (pain relief, relaxation, etc.)___ Are you under a doctors care? ___ If yes, please explain___ ___ Referred by

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How to fill out massage consent form

01

Step 1: Contact the massage therapist or establishment where you will be receiving the massage to request a copy of the consent form.

02

Step 2: Read through the form carefully to understand the information being requested.

03

Step 3: Fill out your personal information such as name, address, and contact details.

04

Step 4: Provide any relevant medical history or conditions that the therapist should be aware of.

05

Step 5: Sign and date the form to confirm that you understand and agree to the terms and conditions outlined.

06

Step 6: Return the completed form to the therapist or establishment before your scheduled massage appointment.

Who needs massage consent form?

01

Anyone receiving a massage from a professional therapist or establishment may be required to fill out a massage consent form.

02

This form helps ensure that the therapist is aware of any medical conditions or concerns that may affect the massage treatment.

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What is massage consent form?

A massage consent form is a document signed by a client to give permission for a massage therapist to perform a specific massage treatment.

Who is required to file massage consent form?

Any client receiving a massage treatment is required to fill out a massage consent form.

How to fill out massage consent form?

To fill out a massage consent form, the client must provide their personal information, health history, and sign to give consent for the massage treatment.

What is the purpose of massage consent form?

The purpose of a massage consent form is to ensure that the client understands the risks and benefits of the massage treatment, and gives informed consent for the therapist to proceed.

What information must be reported on massage consent form?

The massage consent form must include the client's personal information, health history, any allergies or medical conditions, and the type of massage treatment requested.

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