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Biodynamic Craniosacral Therapy Client Intake Form 2025

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The document is a client intake form for Biodynamic Craniosacral Therapy, collecting personal information, medical history, current medications, and reasons for the visit. It includes sections for emergency contact details, significant family medical history, and a checklist of health conditions. The form emphasizes confidentiality and clarifies that the therapist does not diagnose or prescribe treatments.

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Click ‘Get Form’ to open the Biodynamic Craniosacral Therapy Client Intake Form in the editor.
Begin by entering your name and the date at the top of the form. This helps personalize your intake process.
Fill in your address details, including street, city, state, and zip code. Accurate information ensures effective communication.
Provide your date of birth and contact numbers. This information is crucial for emergency situations.
List an emergency contact along with their relationship to you and their phone number for safety purposes.
Indicate if you are currently taking any medication or have had recent surgeries by selecting 'Yes' or 'No' and providing explanations as needed.
Check any relevant conditions that apply to you from the list provided, adding comments for clarification where necessary.
Assess your stress level by circling a number from 1 (Low) to 5 (High) to help your therapist understand your current state.
Complete sections on medications/supplements, family medical history, accidents/surgeries, and reason for visit as accurately as possible.
Finally, sign and date the form at the bottom. If applicable, include a guardian's signature for minors.

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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.

What not to do after craniosacral therapy?

Avoid engaging in strenuous activities immediately afterward to give your body the opportunity to integrate the changes facilitated by the therapy. Try to avoid stressful or overly stimulating environments in the hours following your craniosacral treatment.

What are the complications of craniosacral therapy?

Complications include depression, confusion, headaches, diplopia, vertigo, nausea, vomiting, loss of consciousness, trigeminal nerve damage, hypopituitarism, brainstem dysfunction, opisthotonus, assorted seizures and possible miscarriage of a 12-week pregnancy.

What is the difference between craniosacral therapy and biodynamic craniosacral therapy?

As the name suggests, traditional craniosacral therapists tend to focus on the head and the lower spine, the sacrum. They will usually spend time holding the head and often also the sacrum. In contrast, therapists practising the biodynamic style might contact anywhere on the body.

Who shouldnt do craniosacral therapy?

People with the following health ailments or disorders should not get craniosacral therapy: Blood clots. Concussion or other traumatic brain injuries. Brain swelling.

How much does a craniosacral therapy session cost?

Craniosacral therapists may offer packages for multiple sessions at a discounted rate, which can be beneficial if youre looking for a cost-effective way to heal. For example, a one-time session may cost $150, but a package of 6 sessions could be priced at $800, saving you money in the long run.

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What should a client intake form include?

Intake forms examples and templates you can use for your clients Basic information: Full name. Company name. Contact details (phone, email, address) Service requirements: Type of service required. Goals or expectations from the service. Budget (optional) Additional notes or questions: Free text field.

What is the aftercare of craniosacral therapy?

After the craniosacral therapy session, its important to follow some aftercare tips to maximize the benefits and ensure your body responds well to the treatment. Drink plenty of water to help flush out toxins. Allow your body time to rest and integrate the changes. Engage in light activities to keep your body moving.

How should I feel after craniosacral therapy?

After a session, you may feel dizzy or lightheaded. Take your time moving and standing up after your treatment to prevent falls. It may take a few sessions before you reach your goals for the treatment. If your symptoms get worse after a session, talk to your healthcare provider.