Pregnancy massage intake form 2025

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The document is a Pregnancy Massage Client Intake Form designed to collect essential information from clients seeking massage therapy during pregnancy. It includes personal details, medical history, current health conditions, and consent for communication with prenatal care providers. The form emphasizes the importance of disclosing any complications or symptoms related to pregnancy and outlines the client's responsibilities regarding appointment cancellations and understanding of the therapy's nature.

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Click ‘Get Form’ to open the pregnancy massage intake form in the editor.
Begin by entering your personal information, including your name, birth date, address, and contact details. This ensures that your therapist can reach you if necessary.
Provide your occupation and emergency contact information. This is crucial for any unforeseen circumstances during your massage session.
Indicate how you learned about the service and share your previous experience with massage therapy. This helps the therapist tailor the session to your needs.
Fill out the medical history section, including any medications, exercise habits, and past or current conditions. Be thorough to ensure a safe experience.
Complete the prenatal care provider section and indicate if permission is granted for contact. This is important for coordinating care.
Check any current problems or past issues from the provided list. This helps identify areas of concern for your therapist.
Finally, review all entries for accuracy before submitting the form to ensure a smooth process during your appointment.

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What pressure points should be avoided during pregnancy?

According to Ebbin, there are two areas that you should definitely avoid during pregnancy: the reflexology areas directly connected to the uterus and ovaries, which are located on the inside and outside of both ankles in the hollow areas just under the ankle bones.

What can I use for a prenatal massage?

Safe Techniques for Pregnancy Massage Deep-tissue massage, with firm strokes pressing deep into muscles. Swedish massage, with long strokes to muscles and attention to joint mobility. Shiatsu, with pressure and tapping on acupressure points to stimulate the body's natural energy (called qi)

Do you lay on your side for a prenatal massage?

Some therapists will have you lay on your side and move you around as needed for comfort. Other therapists may offer to have you use a prenatal bolster that will allow you to lay face down. Both are great options and will depend on what the therapist has and how comfortable you are.

Can you get a table massage while pregnant?

Yes. Massage is a good way to relax and improve circulation. The best position for a massage while you're pregnant is lying on your side, rather than facedown. Some massage tables have a cut-out for the belly, allowing you to lie facedown comfortably.

What is the purpose of an intake form?

A client intake form is a questionnaire an agency uses to essentially onboard its clients. It asks a client to provide information that can help an agency both determine whether that client is a good fit for its services and shape a strategy to address that prospect's needs, interests, and pain points.

When should you avoid massage in pregnancy?

But you'll want to avoid massage during the first three months of pregnancy as it may trigger dizziness and add to morning sickness.

How are you positioned for a prenatal massage?

According to Osborne, physicians and midwives recommend left side-lying positioning to minimize risk to the mother and offer maximum safety for both mother and baby. While lying on either the right or left is advised, the latter optimizes maternal cardiac functioning and oxygen delivery to the fetus.

What week is best for prenatal massage?

Recommended Appointment Schedule For Prenatal Massage. For prenatal massage, it is recommended that your appointments coincide with your doctor visits. This means once a month until 27 weeks, and twice a month until 36 weeks. After that, it is recommended that you transition to weekly appointments until you give birth.

Pregnancy massage intake form 2025

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