Client Intake Form l Massage Therapy - burkeorg 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out your personal information, including your name, phone numbers, address, email, date of birth, and occupation. This information is crucial for the therapist to understand your background.
  3. Next, provide details about your emergency contact and the date of your initial visit. This ensures that the therapist can reach someone if needed.
  4. Answer the questions regarding your previous massage experiences and any physical difficulties you may have. Be honest to help plan a safe session.
  5. Indicate any allergies or sensitivities you have. This is important for selecting appropriate oils or lotions during your massage.
  6. Complete the medical history section by disclosing any current medical supervision, medications, or conditions that may affect your treatment.
  7. Finally, share any specific goals or areas of focus for your massage session to ensure a tailored experience.

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