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Moasis Therapeutic Massage Client Intake Form 2025

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The document is a client intake form for Moasis Therapeutic Massage, gathering personal information, massage history, medical history, and consent. It aims to plan safe and effective massage sessions by collecting relevant details about the client's health, preferences, and goals for the session.

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How to use or fill out Moasis Therapeutic Massage Client Intake Form

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Click ‘Get Form’ to open it in the editor.
Begin by filling out your personal information, including your name, contact numbers, and address. This section is crucial for establishing your identity and ensuring effective communication.
Next, indicate how you heard about Moasis Therapeutic Massage. This helps the clinic understand their outreach effectiveness.
Proceed to answer the questions regarding your previous massage experiences and any physical difficulties you may have. Be honest to ensure a safe and effective session.
In the medical history section, provide details about any current medications, conditions, or surgeries. This information is vital for tailoring your massage therapy.
Finally, review the consent statement carefully before signing. Ensure that all information provided is accurate and complete.

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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 I create a client 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.

What should be on a massage intake form?

Components of a massage intake form Client Information. The Client Information section gathers basic details like the clients full name, phone number, email, and date of birth. Health History. Massage Goals and Preferences. Consent and Waiver. Lifestyle and Past Experience.

What should be included in a project intake form?

Here are some key elements you can include on your project intake form to ensure your team has all the information they need to be successful: Client contact information. Type of project. Objective. Budget. Deadline. Determine the format. Make a list of important questions. Determine your project threshold.

What is the difference between a deep tissue massage and a therapeutic massage?

As mentioned earlier, deep tissue massage primarily targets the deeper layers of muscles and connective tissues. It aims to release chronic tension and break down adhesions. While therapeutic massage can include deep tissue techniques, its not exclusively focused on deep layers.

How do you talk to massage clients?

During the massage, massage therapists can and should ask questions as needed. For example, check in and ask questions about how the client is feeling, ask about how the pressure is (and if theyd like more or less), how the temperature of the room is, and of course how the particular technique feels.

massage intake form printable

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What is on a massage intake form?

Client intake form allows the massage therapist to collect detailed information about the clients health history, areas of concern, and any injuries or chronic conditions they may have. Experienced massage therapists always keep survey cards of their patients.

What is included in an intake form?

This form can be physical or digital, and is designed to capture details about the clients needs, preferences, healthy history (if relevant), and any other information that can help you provide a personalized and effective service.

What 5 forms of information should clients be provided with in an intake?

What 5 forms of information should clients be provided with in an intake? Scope. Clearly outline the legal services the firm will provide, including specific tasks and objectives related to the clients case. Fee structure. Billing. Client responsibilities. Confidentiality and communication.