Get Prenatal Client Intake Form (please Print) - Hillsborough Massage

Completing the Prenatal Client Intake Form is an essential step in ensuring that your massage therapy experience is tailored to your unique needs during pregnancy. This guide will provide you with clear instructions on how to accurately fill out each section of the form to facilitate effective communication between you and your massage therapist.

Follow the steps to fill out the Prenatal Client Intake Form accurately and efficiently.

1. Press the ‘Get Form’ button to access the Prenatal Client Intake Form and open it for editing.
2. Fill in your full name in the designated field, ensuring it matches your identification documents.
3. Enter your date of birth (DOB) and the expected delivery date, which are important for the therapist to be aware of your pregnancy timeline.
4. Complete your home address, including city, state, and zip code, so the clinic can properly communicate with you.
5. Provide your email address for electronic communication and updates about your therapy sessions.
6. Include your occupation, as it may help the therapist understand your daily physical demands.
7. List both your home and cell phone numbers for contact purposes, especially for appointment confirmations.
8. Indicate your preferred contact method for further communication.
9. In the emergency information section, provide a contact's full name and their relationship to you in case of unforeseen circumstances.
10. Fill out health data by marking any stress zones and selecting reasons for your visit by circling all that may apply.
11. Provide details about your health history, including current medications, previous pregnancies, and births.
12. Acknowledge the consent for treatment and cancellation policy by reading the details, signing, and dating the form.
13. Finally, save your changes, download, print, or share the form ensuring you have a copy for your records.

Start filling out your Prenatal Client Intake Form online to ensure the best care for your needs.