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Massage Therapy Wellness Chart Full Name___ Address___City___State___Zip___Home Phone ___ Cell Phone ___ Email___ Occupation ___ SS#___ Sex M F Marital Status S M D W Age___Birthday ___/___/___Emergency
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How to fill out massage formrapy - patient

01
Start by providing your personal information such as name, address, phone number, and insurance information if applicable.
02
Fill out the medical history section accurately, noting any current medical conditions, injuries, or allergies.
03
Specify the reason for seeking massage therapy treatment and any areas of the body that require special attention.
04
Indicate any preferences for pressure level, techniques, or scents that you prefer during the massage session.
05
Sign and date the form to acknowledge that all information provided is accurate and complete.

Who needs massage formrapy - patient?

01
Anyone who is experiencing muscle tension, stress, chronic pain, or seeking relaxation can benefit from massage therapy.
02
Patients recovering from injuries, athletes looking to improve performance, or individuals with conditions like arthritis or fibromyalgia may also benefit from massage therapy.

What is Massage Therapy - Patient Intake Form?

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Massage therapy - patient refers to the documentation and forms that patients fill out to receive massage therapy services, encompassing their medical history, treatment goals, and any specific conditions that need to be addressed.
Patients who are seeking massage therapy services, particularly those whose treatments are covered by insurance or need to be documented for medical purposes, are required to fill out the massage therapy - patient form.
To fill out the massage therapy - patient form, the patient should provide personal information, medical history, current medications, details about medical conditions and goals for therapy, and any other relevant health information as guided by the form.
The purpose of the massage therapy - patient form is to collect essential information about the patient’s health status, inform the therapist of any contraindications, and outline treatment objectives to tailor the massage therapy to the patient’s needs.
Information that must be reported includes the patient's full name, contact information, date of birth, medical history, current conditions, medications, allergies, previous massages, and specific areas of tension or pain.
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