Get Massage Intake Form Revised.docx

Filling out the Massage Intake Form Revised.docx online is a straightforward process that ensures your specific needs and preferences are communicated to your massage therapist. This guide will walk you through each section of the form, providing clear instructions to help you complete it accurately and efficiently.

Follow the steps to complete your form online

1. Click ‘Get Form’ button to obtain the form and open it in your editor.
2. Begin by entering your personal information in the designated fields, including your name, phone number, date of birth, address, email, and occupation. Ensure that all information is accurate.
3. Indicate your gender by selecting either male or female as it pertains to you.
4. Provide the name and contact information for your emergency contact, as well as the name of your physician.
5. Answer whether you are currently a member of Fitness Plus and provide your member number if you are.
6. In the Massage Information section, describe how you heard about the service and whether you have previously received a professional massage. Specify your preferred pressure level (light, medium, or firm) and the type of massage you are seeking.
7. Answer the questions regarding sensitivities, exercise habits, and areas of tension, using the provided body diagrams to indicate specific locations if necessary.
8. In the Medical History section, disclose any chronic pain or discomfort, current medications, past surgeries, and any relevant medical conditions. Provide explanations where prompted.
9. Read and understand the informed consent section. Ensure you acknowledge the statement regarding the purpose of your massage and the therapist's role.
10. Review the cancellation/late policy, confirm your agreement, and provide your signature along with the date.
11. If signing for a minor, fill out the consent section for treatment of a minor and include the signature of the parent or guardian.
12. Save the completed form. You may choose to download, print, or share the form with your therapist as needed.

Complete your Massage Intake Form online today to ensure a personalized experience during your massage session.