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Massage intake form word doc 2025

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The document is a Massage Client Intake Form that collects personal, medical, and emergency contact information from clients seeking massage therapy. It includes questions about previous massage experiences, medical conditions, and areas of pain or discomfort. Additionally, it contains a waiver form where clients acknowledge the nature of the services provided, agree to inform the therapist of any health changes, and accept liability terms. The document also provides guidelines for preparing for the massage session.

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Click ‘Get Form’ to open the massage intake form in the editor.
Begin by filling in your personal information, including your name, email, address, and phone numbers. Ensure all details are legible for clarity.
In the General and Medical Information section, answer the questions regarding your massage history, pregnancy status, and any allergies. Be honest to ensure a safe experience.
List any current medications and surgeries you have undergone. This information is crucial for your therapist's understanding of your health.
Indicate areas of pain or tension on the provided diagram and rate your stress, pain, and energy levels on a scale from 1 to 10.
Review the Massage Client Waiver Form carefully. Initial each statement to confirm your understanding and agreement before signing at the bottom.
Finally, ensure you read through the Information and Suggestions section for tips on preparing for your massage session.

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Versions	Form popularity	Fillable & printable
2013	4.2 Satisfied (70 Votes)
2012	4.2 Satisfied (42 Votes)
2011	4 Satisfied (49 Votes)
2005	4 Satisfied (20 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do you document therapy notes?

Writing Therapy Notes Write clear, easy-to-understandable notes. Be selective, clear, and concise. Familiarize yourself with the HIPAA requirements. Ensure data security. Use simple note-taking templates. Final Thoughts.

How to write a massage report?

It is important to include the patients voice and thoughts on treatment/s and outcome/s, which can strengthen the report. Comments and quotes from the patient in the discussion section allow them to be heard about their experience. The practitioner should state whether there were any adverse or unexpected events.

How do I write a receipt for massage therapy?

Make the header include your name or your business name and location and contact. Make the item note the date and say what was provided- 60 or 90 min massage and the fee you charge. If you are doing an invoice for multiple dates you can just list them as several item lines. Thats it.

How to make a fillable intake form?

Create a client intake form using a fillable PDF. Launch Acrobat. Click Tools Prepare Form. Select a file or scan a document. Add new form fields. These form fields can ask for a name, email, reason for requesting services, and more. Click Distribute to collect responses automatically.

How do I create a massage intake form?

How to Create a Massage Client Intake Form Step 1: Create a new Google Form. Step 2: Include questions for personal information. Step 3: Add a field to describe health history. Step 4: Add a field to mention areas of concern. Step 5: Include necessary consent agreements. Step 6: Create an intake document automatically.

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What is documentation in massage therapy?

The most common form that therapists use to document their client sessions is the SOAP note. What are SOAP notes? A SOAP note is a documentation format that massage therapists and other healthcare workers use to document client encounters. SOAP is an acronym that stands for subjective, objective, assessment and plan.

How to create an intake form in Word?

Intake forms can be made in Word by following these steps: Step 1 : Open Microsoft Word. Step 2 : Make a new document. Step 3: Add form fields. Step 4: Customize the details of the form. Step 5: Keep the form safe. Step 6: Send it out and save it.

How do you document massage therapy?

A massage therapist SOAP note template includes the following information: Clients name and contact information. Date and time of visit. Description of what type of massage was performed. The clients reaction to the massage. Any areas that were sore or felt abnormal before or after treatment.