
Get the free Massage Intake Form - Life 39n Balance Wellness Centre
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Massage Intake Form How did you hear about Life n Balance? Name: Occupation: Home #: Cell # : Business #: (check preferred) Address: Postal Code: Email: Date of Birth: Emergency Contact (name and
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How to fill out massage intake form

How to fill out a massage intake form:
01
Start by providing your personal information, such as your name, address, and contact details. This will help the therapist to keep track of your records and communicate with you effectively.
02
Next, answer questions about your medical history. It is important to disclose any pre-existing medical conditions, injuries, or surgeries you have had. This information will help the therapist customize the massage session according to your needs and ensure your safety during the treatment.
03
Provide information about your lifestyle, including your occupation and any physical activities or sports you participate in regularly. This will help the therapist understand the potential causes of your muscle tension or any specific areas that may require extra attention during the massage.
04
Indicate if you have any allergies or sensitivities to products, such as oils or lotions, that may be used during the massage. This will allow the therapist to make suitable adjustments and choose alternative products if necessary.
05
Specify the reason for your massage session. Are you seeking relaxation, stress relief, or targeting a specific issue like back pain or muscle tension? Describing your goals will assist the therapist in tailoring the massage techniques and focus areas to achieve the desired outcomes.
06
Review the intake form thoroughly before signing and dating it. By signing the form, you acknowledge that the information provided is accurate and complete to the best of your knowledge.
07
Keep in mind that your massage therapist is a trained professional who respects your privacy. All the information you provide on the intake form is confidential and will only be used to better understand your needs and offer you appropriate treatment.
Who needs a massage intake form?
01
New clients: Any individual who is visiting a particular massage therapist for the first time will typically be required to fill out an intake form. This allows the therapist to gather essential information about the client's health, preferences, and specific concerns, ensuring a safe and effective massage session.
02
Returning clients experiencing changes: Even if you have filled out a massage intake form before, it may be necessary to update the information if there have been any changes in your health, medications, or circumstances. This helps the therapist to provide the most current and relevant treatment for your evolving needs.
03
Clients seeking different types of massages: If you are trying a different style of massage or visiting a new therapist for the first time, it is important to fill out a new intake form. Each massage therapist may have different techniques, preferences, or areas of expertise, warranting the need for specific information to enhance the session's effectiveness.
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What is massage intake form?
The massage intake form is a document that collects information about a client's health history, preferences, and any medical conditions.
Who is required to file massage intake form?
Clients who are receiving a massage therapy session are usually required to fill out a massage intake form.
How to fill out massage intake form?
Clients can fill out the massage intake form by providing accurate information about their health history, preferences, and any medical conditions.
What is the purpose of massage intake form?
The purpose of the massage intake form is to ensure that the massage therapist has a clear understanding of the client's health needs and can provide a safe and effective treatment.
What information must be reported on massage intake form?
Clients must report their health history, preferences, and any medical conditions on the massage intake form.
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