Get the free Massage Intake Form

This form is designed to collect personal information and medical background from clients prior to receiving a massage to ensure a safe and effective treatment.

How to fill out massage intake form

How to fill out Massage Intake Form

1. Begin by entering your personal information at the top of the form, including your name, address, phone number, and email.
2. Fill out the date of the appointment to indicate when you plan to receive the massage.
3. Provide your date of birth to help the therapist understand your age-related needs.
4. Indicate any medical conditions you have, such as allergies, diabetes, or heart conditions.
5. List any medications you are currently taking that may affect your massage therapy.
6. Specify any areas of concern or pain that you would like the therapist to focus on during the massage.
7. Complete the consent section, confirming your understanding of the massage therapy process and any potential risks.
8. Sign and date the form to verify that the information is accurate and complete.

Who needs Massage Intake Form?

1. Individuals seeking massage therapy services.
2. Clients who are new to a massage therapist or establishment.
3. Persons with specific medical conditions that require special attention during the massage.
4. Anyone who wants to communicate their preferences and restrictions to the therapist.

For pdfFiller’s FAQs

What is Massage Intake Form?

The Massage Intake Form is a document used by massage therapists to gather essential information about a client's health history, preferences, and any specific concerns prior to a massage session.

Who is required to file Massage Intake Form?

All clients seeking massage therapy services are typically required to complete the Massage Intake Form to ensure their safety and to tailor the massage to their needs.

How to fill out Massage Intake Form?

To fill out the Massage Intake Form, clients should provide personal information such as their name, contact details, medical history, areas of concern, and preferences regarding the massage techniques used.

What is the purpose of Massage Intake Form?

The purpose of the Massage Intake Form is to collect relevant health and personal information that helps the therapist provide safe and effective treatment while addressing the client's specific needs.

What information must be reported on Massage Intake Form?

Clients must report information such as their medical history, current health conditions, medications, allergies, previous injuries, and any areas of pain or discomfort on the Massage Intake Form.