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Massage Therapy Intake Form be updated annually. Please alert therapist of any health changes at time of massage.
Name: ___Birth Date: ___Address: ___Home Telephone: ______Business Telephone: ___City/State/Zip:
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How to fill out massage therapy intake form

How to fill out massage therapy intake form
01
Start by entering your personal information at the top of the form, including your name, address, phone number, and email.
02
Provide your date of birth and any relevant medical history, including past injuries or surgeries.
03
List any current medications or supplements you are taking.
04
Indicate your primary reason for seeking massage therapy, such as pain relief, relaxation, or rehabilitation.
05
Specify any areas of discomfort or tension you would like the therapist to focus on during the session.
06
Complete questions regarding your lifestyle, such as exercise habits, stress levels, and sleep patterns.
07
Review and sign the consent section to confirm that you understand the terms of service and agree to the therapy.
Who needs massage therapy intake form?
01
Individuals seeking relief from physical pain or tension.
02
People recovering from injuries or surgeries who need rehabilitation.
03
Those looking for relaxation and stress relief.
04
Clients with chronic conditions that may benefit from massage therapy.
05
Anyone wanting to improve their overall well-being and quality of life.
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What is massage therapy intake form?
A massage therapy intake form is a document that clients fill out before receiving massage therapy. It collects information about the client's health history, current conditions, and any specific areas of concern.
Who is required to file massage therapy intake form?
All clients seeking massage therapy services are required to complete an intake form to ensure the therapist has the necessary information to provide safe and effective treatment.
How to fill out massage therapy intake form?
To fill out a massage therapy intake form, clients should answer all questions honestly and completely, providing details about their medical history, medications, allergies, and any current health issues or pain areas.
What is the purpose of massage therapy intake form?
The purpose of the massage therapy intake form is to assess the client's health status, identify potential contraindications, and tailor the massage therapy to meet the client's specific needs.
What information must be reported on massage therapy intake form?
The intake form typically requires information on medical history, current medications, allergies, previous surgeries, and any existing injuries or conditions that may affect treatment.
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