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Massage intake form
Name: Massage intake form
File size: 611mb
Client Intake Form – Therapeutic Massage. Personal Information: Name. Phone ( Day). Phone (Eve). Address. City/State/Zip email. Date of Birth. Occupation. A basic release of liability form to be used in conjunction with our intake form. This form allows clients to easily sign up for chair massage at any event. Capture . Learn how to create a positive experience for your massage therapy clients. Client Intake & SOAP Documentation for Your Massage Practice. Protect yourself .
Massage Client Intake Form: The personal information of the client is added in this form, this helps understand the Masseuse how to progress further because. I,., acknowledge that this medical information is accurate and true to the best of my knowledge. If I experience any pain or discomfort during the massage, I will. Can I call or text with any last minute cancellations: Yes__________ No__________. Have you had a professional massage before? Yes No. If yes, how often.
Name: Soc. Sec. #. Address: City: State: Zip: Home Phone: Work Phone: Cell Phone: Occupation: Employer: Date of Birth: Marital Status: Single Married. Massage Intake Form. Please fill out ALL information as Have you had a professional massage/bodywork session before? _________. If YES, when and what. Massage Therapy Intake Form. All intake information is confidential. Please include accurate information to the best of your ability in order to ensure a safe and. Stark State College Massage Therapy Clinic. Client Intake Form. Date. Name: Address: City / State: Zip: Date of Birth: Phone: Emergency Contact/ Relationship . Have you had a professional massage before? ☐yes ☐no. What type of massage are you seeking? ☐Relaxation ☐Therapeutic/Deep Tissue. Other.