Get Thai Intake Form

This guide provides step-by-step instructions for completing the THAI Intake Form online. Following these instructions will help ensure that you provide all necessary information accurately and effectively.

Follow the steps to successfully fill out the THAI Intake Form.

1. Press the ‘Get Form’ button to access the form and open it in your online editor.
2. Enter your personal information at the top of the form, including your name, home and work telephone numbers, email address, and physical address. Make sure to provide accurate details to facilitate communication.
3. Fill in your date of birth and profession. If you were referred by someone, please include that information as well.
4. Provide your emergency contact information. This can be a trusted individual who can be reached in case of an emergency during therapy sessions.
5. Indicate whether you are currently taking any medication. Describe any special medical conditions you may have in the provided space.
6. Check any applicable health conditions listed on the form, such as osteoporosis or heart problems. This helps the practitioner understand your health better.
7. If there are any specific conditions that apply to you, describe them in detail in the provided section beneath the checklist.
8. Use the diagrams on the right side of the form to indicate any problem areas. Circle areas of tension, pain, or history of surgeries according to the guidelines provided.
9. Read the client consent and agreement section carefully. It outlines the intentions of Thai therapy and cancellation policies. You must provide your signature and the date to indicate your understanding and agreement.
10. Once you have completed all sections of the form and reviewed your information for accuracy, you can save your changes, download the form, print it, or share it as needed.

Complete the THAI Intake Form online today to prepare for your therapy session.