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* Massage InTake * Date: ___/___/20___ Name: ___ Home Phone: ___ Street: ___ City: ___ State: ___ Zip: ___ Alternate Phone (Work or Cell): ___ D.O.B: ___/___/___ Age: ___ Height: ___ Weight: ___ Sex:
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How to fill out massage in-take
How to fill out massage in-take
01
Begin by providing your personal information, including your name, contact number, and address.
02
Fill out any medical history sections, noting previous injuries or medical conditions.
03
Indicate any current medications you are taking.
04
Specify your reasons for seeking massage therapy (e.g., relaxation, pain relief).
05
Note any areas of pain or discomfort on your body.
06
Answer questions about your massage preferences, such as pressure level and areas to focus on.
07
Provide information on any allergies or skin sensitivities.
08
Review the document for any missed sections before submitting.
Who needs massage in-take?
01
Individuals experiencing chronic pain or muscle tension.
02
People with stress or anxiety looking for relaxation.
03
Athletes needing recovery from sports-related injuries.
04
Anyone wanting to improve their overall wellness and relaxation.
05
Patients in rehabilitation therapy.
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What is massage in-take?
Massage in-take is a process used to collect initial information and consent from clients prior to receiving a massage therapy session.
Who is required to file massage in-take?
Massage therapists are required to have clients fill out a massage in-take form before providing services to ensure proper assessment and consent.
How to fill out massage in-take?
To fill out a massage in-take, clients should provide personal information such as name, contact details, medical history, and any specific areas of concern or preferences regarding the massage.
What is the purpose of massage in-take?
The purpose of massage in-take is to gather essential information that helps the therapist tailor the massage session to the client's individual needs and to ensure their safety and comfort.
What information must be reported on massage in-take?
Information that must be reported includes personal details, medical history, allergies, current medications, and any past injuries or surgeries.
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