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Moonstone Massage Intake Form
Personal Information
Name ___Phone ___
Address ___City/State/Zip___ DOB ___Occupation ___Employer ___Email ___Primary Physician ___Emergency Contact ___Relationship ___Phone___How did you hear about us?
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How to fill out moonstone massage intake form

How to fill out moonstone massage intake form
01
To fill out the moonstone massage intake form, follow these steps:
02
Start by providing your personal information, including your name, address, and contact details.
03
Indicate any medical conditions or allergies that you have by checking the appropriate boxes or writing them in the provided space.
04
Specify any medications you are currently taking, including dosage and frequency.
05
Describe any past surgeries or injuries that may be relevant to your massage therapy.
06
Mention any specific areas of concern or discomfort that you would like the massage therapist to focus on.
07
If you have any preferences or requirements regarding the massage, such as pressure or techniques, make sure to mention them.
08
Read through the policies and disclosures section and sign the form to indicate your understanding and agreement.
09
Finally, submit the completed intake form to the moonstone massage clinic either in person or through their online portal.
Who needs moonstone massage intake form?
01
Anyone who wishes to receive a massage at moonstone massage clinic needs to fill out the intake form.
02
This form is necessary to ensure the safety and well-being of the clients, as it allows the massage therapists to understand any medical conditions, injuries, or specific needs that need to be considered during the massage.
03
Filling out the intake form helps to tailor the massage session according to the individual's requirements and avoid any potential contraindications or complications.
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What is moonstone massage intake form?
The moonstone massage intake form is a document used by massage therapists to gather important information about clients' health history, preferences, and any specific concerns related to their massage therapy.
Who is required to file moonstone massage intake form?
All clients seeking moonstone massage therapy are required to complete and submit the intake form before their first session.
How to fill out moonstone massage intake form?
To fill out the moonstone massage intake form, clients should provide accurate personal information, medical history, information about current medications, any allergies, and indicate their preferences for the massage experience.
What is the purpose of moonstone massage intake form?
The purpose of the moonstone massage intake form is to ensure the safety and effectiveness of the massage therapy by capturing essential information that allows the therapist to tailor the treatment to the client's specific needs.
What information must be reported on moonstone massage intake form?
The intake form must report personal identification details, health history, any past injuries, current medications, allergies, and the client's specific goals or concerns regarding the massage treatment.
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