Health History and Entrance Form - Massage Addict 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information, including your name, email, and phone numbers. This ensures we can contact you for appointment reminders.
  3. Fill in your address details, date of birth, age, and occupation. This information helps us understand your background better.
  4. Indicate how you heard about us and whether you have insurance coverage for massage. If applicable, provide your doctor's name and contact information.
  5. Complete the health history section by detailing any current medications, previous illnesses or operations, allergies, and major accidents.
  6. In the symptoms section, check all relevant boxes that apply to you. This helps us tailor your treatment effectively.
  7. Finally, read the consent statements carefully before signing and dating the form to confirm that all provided information is accurate.

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WHAT WE OFFER Massage Therapy. If its massage youre after, youve come to the right place. Chiropractic Care. Are you trying to get your body aligned? Custom Orthotics. Acupuncture. Reflexology.
Informed consent is a fundamental ethics and legal component of any health and wellness practice. Massage practitioners should require ALL clients to give informed consent before providing them with massage therapy or bodywork services.
More hospitals and medical centers are offering these types of treatments and more health insurance companies will cover the cost. Medical massages help reduce pain and stress, especially for cancer or fibromyalgia patients or for patients in hospice.

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The client consultation form helps to ensure that the massage therapist is aware of any contraindications or precautions that need to be taken during the massage. This includes avoiding certain areas of the body or adjusting the pressure used during the massage.
Some specific conditions that massage can help include: Anxiety. Depression. Digestive disorders. Fibromyalgia. Headache. Insomnia. Nerve pain. Postoperative care.
Designing a successful massage therapy treatment plan requires understanding what your client really wants. Engage them with open-ended questions, and listen to what they say - both with their words and their bodies. Conduct a thorough assessment, then craft a treatment plan that aligns with their desires and goals.
Improved Blood Flow: A muscle pain massage can increase circulation and deliver oxygen and nutrients to muscle tissues. Improved blood flow accelerates the recovery process and reduces inflammation, a common source of pain.

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