RMT intake #4.docx 2025

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The document is a Medical History Form for Registered Massage Therapy, designed to collect personal and medical information from patients to ensure effective care. It includes sections for patient details, medical history, current conditions, and consent for treatment. The form emphasizes confidentiality and outlines the importance of accurate information for optimal therapy outcomes.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (37 Votes)

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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 is an example of a massage disclaimer?

I understand that massage or bodywork should not be perceived by me as a substitute for medical examination, diagnosis, or treatment and that I should consult a physician, chiropractor, or other qualified medical specialist for any mental or physical condition that I am aware of.

Can a doctor write a prescription for massage therapy?

The answer to this will depend on your individual insurance plan, as some require that it comes from an MD. But, more often than not, the prescription can come from any qualified healthcare provider, such as your primary care physician, chiropractor, naturopath, or nurse practitioner.

How to get a letter of medical necessity for massage therapy?

Medical companies cover medical procedures and will not cover luxuries such as massage that is not prescribed by a doctor. If you do not have a medical need for massage therapy and are only seeing a massage for enjoyment, then you will not be covered by medical insurance.

What is the highest certification for a massage therapist?

Board Certification in Therapeutic Massage and Bodywork (BCTMB) is the highest credential within the massage and bodywork profession.

Can I get a doctors note for a massage?

Who can write a medical note for you to receive a massage? A note for a massage can be written by a chiropractor, physical therapist, or a medical doctor. To make an appointment for a massage, let us know that you have received a medical note. Your medical note for a massage may be in physical or email format.

Can my doctor write a prescription for massage?

Depending on your situation, your doctor likely will be open to prescribing massage. Licensed therapeutic massage is safe and non-addictive, and medical research consistently supports its effectiveness as a pain-management treatment.

RMT intake #4.docx 2025

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