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Massage Intake Form Please mail form with payment. BBB First Name: Last Name: Birthdate: Contact Number: Emergency Contact Name & Number: Check all that apply: Knee problems/difficult to kneel Pregnant

How to fill out massage release form

How to fill out a massage release form:

1. Start by providing your personal information: Fill in your full name, date of birth, address, phone number, and email address. This is important for the therapist to have your contact details and identification.
2. Next, indicate any medical conditions or injuries: It's essential to disclose any existing medical conditions, recent surgeries, injuries, or chronic illnesses that the therapist should be aware of. This information helps the therapist tailor the massage session to your specific needs and ensure your safety.
3. Specify any allergies or sensitivities: If you have known allergies or sensitivities to certain oils, lotions, or other products commonly used in massage therapy, make sure to mention them. The therapist can then use alternative products that won't cause any adverse reactions.
4. Consent to treatment: Sign or check the box that states you give your consent to receive massage therapy treatment. This confirms that you understand the benefits and risks associated with massage therapy and gives permission for the therapist to proceed with the session.
5. Release of liability: Understand and acknowledge any statements provided concerning the release of liability for the massage therapist and/or their practice. This portion typically states that you agree to hold them harmless for any injuries or negative outcomes that may occur during or after the session, as long as they were not caused by gross negligence or intentional misconduct.
6. Indicate your preferences: If you have any specific preferences for the massage session, such as areas of focus, pressure intensity, or techniques to avoid, make sure to communicate them. This helps the therapist tailor the session to your preferences and achieves the desired outcome.
7. Provide emergency contact information: Fill in the details of an emergency contact, including their name, relationship to you, and contact number. This is important in case of any medical emergencies or if the therapist needs to reach someone on your behalf.

Who needs a massage release form:

1. Individuals seeking professional massage therapy: Anyone who is considering receiving massage therapy should typically complete a massage release form. This may include those seeking relaxation, stress relief, pain management, injury rehabilitation, or any other benefits commonly associated with massage therapy.
2. First-time clients: If you are a first-time client at a particular massage therapy clinic or with a new therapist, they will usually ask you to complete a release form to gather necessary information about your health, preferences, and any potential risks.
3. Returning clients with updated information: Even if you have filled out a massage release form in the past, the therapist may request an updated form if there have been any changes to your health, medications, or other relevant factors since your last session.
4. Minors or their legal guardians: In the case of minors receiving massage therapy, the legal guardian or parent will typically need to complete and sign the release form on their behalf. This ensures that the responsible adult consenting to the treatment is aware of any potential risks or contraindications.

Remember, the specific requirements of a massage release form may vary depending on the massage therapy establishment or practitioner. Always read and understand the form thoroughly before signing, and feel free to ask any questions or seek clarification if needed.

For pdfFiller’s FAQs

What is massage release form?

A massage release form is a document that clients sign before receiving a massage, stating that they understand the risks and benefits of the massage treatment.

Who is required to file massage release form?

Massage therapists are required to have clients fill out and sign a massage release form before providing any massage services.

How to fill out massage release form?

Clients can fill out a massage release form by providing their personal information, medical history, and signing to indicate they understand the risks and benefits.

What is the purpose of massage release form?

The purpose of a massage release form is to protect the massage therapist from liability in case of any injuries or adverse reactions during the massage treatment.

What information must be reported on massage release form?

The massage release form should include the client's name, contact information, medical history, any allergies, current medications, and a statement of understanding the risks and benefits of the massage treatment.

How do I make changes in massage release form?

With pdfFiller, it's easy to make changes. Open your massage release form in the editor, which is very easy to use and understand. When you go there, you'll be able to black out and change text, write and erase, add images, draw lines, arrows, and more. You can also add sticky notes and text boxes.

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