Get Active Care Atlanta Massage Intake Form

Filling out the Active Care Atlanta Massage Intake Form online is a straightforward process designed to gather essential information for your massage therapy session. This guide will walk you through each step to ensure a smooth and efficient experience.

Follow the steps to fill out the Active Care Atlanta Massage Intake Form online

1. Press the ‘Get Form’ button to access the online version of the Active Care Atlanta Massage Intake Form and open it in your document editor.
2. Begin by entering your name, birth date, and age in the corresponding fields. This information is crucial for your therapist to understand your identity and demographic details.
3. Provide your contact details, including your phone number, occupation, and address. This helps ensure that the clinic can reach you if necessary.
4. Enter your email address to receive any correspondence related to your appointment or therapy sessions.
5. Fill out the emergency contact section by providing the name, relationship, and phone number of a person who can be contacted in case of an emergency.
6. Indicate whether you have had massage therapy before and specify the type of massage you have previously experienced if applicable.
7. Use the provided diagram to mark any areas of tenderness or pain on your body, which will assist your therapist in tailoring the session to your needs.
8. Answer the medical condition questions, indicating any potential issues, such as a skin rash or anything contagious. This information is vital for your safety and effectiveness of the treatment.
9. Identify if you wear contact lenses, hearing aids, or other accessories that may affect your comfort during the session.
10. State your goals or expectations for the therapy session. This will help your therapist understand what you hope to achieve.
11. List any past surgeries to give context to your current health status.
12. Check the box for any medical conditions that apply to you from the provided list to ensure your therapist is informed about your health history.
13. Select how you learned about Active Care Atlanta, providing additional context for their marketing efforts.
14. Read and understand the consent and acknowledgement statements before signing to confirm your agreement with the terms.
15. Sign and date the form electronically to validate your submission. Once completed, you can save the changes, download the form, print it for your records, or share it as needed.

Complete your Active Care Atlanta Massage Intake Form online today!