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MY INTEGRATED HEALTH CLINIC CONSULTATION ADMITTANCE FORM Last Name: ___ First Name:___ Sex: M / F Address:___ City___ Postal Code:___ Home Phone:___ Work Phone:___ Cell Phone:___ Cell Phone Provider:
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01
Download the massage-intake-mihcpdf form from the website or obtain a physical copy from the massage therapist.
02
Fill in your personal information such as name, address, contact number, and date of birth.
03
Provide details about your medical history, including any pre-existing conditions or injuries.
04
Indicate the reason for seeking massage therapy and specify any areas of concern or pain.
05
Read and sign the informed consent section, agreeing to the terms and conditions of the massage therapy session.
06
Submit the completed form to the massage therapist before the scheduled appointment.

Who needs massage-intake-mihcpdf?

01
Anyone who wants to receive a professional massage therapy session from a licensed massage therapist may need to fill out the massage-intake-mihcpdf form.
02
This form helps the therapist understand the client's medical history, goals for the session, and any specific areas of concern that need to be addressed during the massage.
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massage-intake-mihcpdf is a form used to gather information from clients before providing massage therapy services.
Massage therapists and establishments offering massage services are required to have clients fill out the massage-intake-mihcpdf form.
Clients should fill out the form with their personal information, medical history, and any specific requests or concerns they have regarding their massage therapy session.
The purpose of the form is to ensure that massage therapists have all the necessary information to provide safe and effective treatment to their clients.
Information such as client's name, contact details, medical conditions, allergies, and any areas of the body that require special attention must be reported on the form.
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