Massage Therapy Client Health Intake Form
Massage Therapy Client Health Intake Form Patient Information Name: _____ Address: _____ City: _____ State: ____ Zip: _____
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Client Intake Form – Therapeutic Massage
Client Intake Form – Therapeutic Massage Personal Information: Name Phone (Day) Phone (Eve) Address … how often do you receive massage therapy? 2. Do you have any difficulty lying on your front, back, … I further understand that massage should not be construed as a substitute for medical …
Client Intake Form Page 1 Of 2 – The Massage Center
Client Intake Form Page 1 of 2 … Client Intake Form Page 2 of 2 Massage Therapy Client Waiver Please take a moment to read and initial all of the following statements … • Feel free to ask your therapist any questions before, during, …
Client Intake Form – Suffieldmassageandwellness.com
That massage should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician other qualified medical specialist for any mental or physical ailment that I am … Client Intake Form.doc
Massage Therapy Intake Form
Massage Therapy Intake Form. CONFIDENTIAL INFORMATION. Today’s Date Name Date of Birth Address City State Zip Phone (home) (work/cell) email
Client Forms – The Massage Center
Free Massages. Free Massage Program; Benefits of Massage; About Us; In The News . Home » Client Forms – The Massage Center Client Forms. Client Intake Form … Gift Cards. Referrals Appreciated. The Massage Center appreciates those who actively help us grow.
Massage Intake – Simple Touch Massage
Massage Intake Form. First Name: _____ Last Name: _____ Address: _____ City … The above information is true to best of my knowledge. I understand that massage therapy is not a substitute for medical attention or examination.
Free Massage Intake Form | Template
Massage Intake Form … Place the completed intake form in the client file for the massage therapist. Free Sample Template. Format: Word PDF # of Pages: 2 Printable: Yes: … Have you ever received massage therapy before? ___ Yes ___No
Therapy Intake Form – free printable Medical forms
Therapy Intake Form. Taking in new therapy patients often requires getting a lot of information about the patients in advance. … Subscribe to the Free Printable newsletter. (No spam, ever!) Subscribe (Free!)
Massage Therapy Intake Form – Amastertouchtherapy.com
Note: I use Biotone Hypoallergenic Sensitive Skin Lotions and Oils. These are also scent free. Intake Form. Circle the following conditions that apply to you, past … Client understands that massage therapy is not sexual in any manner and that any illicit or suggestive remarks or behavior on …
Client Intake Form – Associated Bodywork & Massage Professionals
What are your massage or bodywork goals … I hereby authorize _____ to administer massage, bodywork, or somatic therapy techniques to my child or dependent as they deem necessary. Signature of … Client Intake Form. Title:
Www.massage-healthcoach.com
Client Intake Form – Therapeutic Massage Wellness Center. … Because massage should not be performed under certain medical … I also understand that the License Massage Therapy reserves the right to refuse to perform massage on anyone whom he/she deems to have a condition for which massage …
Therapeutic Massage Wellness Center – Forms
Therapy; Forms; Rates; How to Find Us; FAQ; Membership; … Client Intake Form Client Intake Form New 2012.docx Microsoft Word document [84.5 KB] Miner Consetn Form CONSENT FORM.docx Microsoft Word document [48.3 KB] Address Therapeutic Massage & Wellness Center …
Massage & Wellness Intake Form
Massage & Wellness Intake Form Please fill out all information as accurately and thoroughly as possible. It is the better that you give us what you consider too much information, … I clearly understand that massage therapy is not a substitute for a medical
Free Printable Medical Forms: Massage Client Intake Form
Free Printable Medical Forms by Savetz Publishing, Inc. Download a printable medical form, … and print your personalized Printable Medical Form. Massage Client Intake Form. Name: Date: Address: Phone: Email: … How often do you receive massage therapy …
Massage Therapy Intake Form
I understand that massage therapy is intended to work in conjunction with my health care, not act as a substitute for medical examination. … Massage Therapy Intake Form Author: Current User Last modified by: Shawnda Gross Created Date:
Client Intake Form Therapeutic Massage Name: (PLEASE PRINT …
Client Intake Form – Therapeutic Massage Name: (PLEASE PRINT) _____ Phone: _____ Address: _____ City … Massage therapy constitutes a health care service of massage therapy for therapeutic purposes.
Massage Intake Form – CONFIDENTIAL INFORMATION
Massage Intake Form – CONFIDENTIAL INFORMATION WELCOME! I would like to make your appointment as pleasant and comfortable as … Have you ever received massage therapy? Yes No Type of massage experienced (swedish, shiatsu, deep tissue, etc.) …
Massage Client Intake Form – free printable Medical forms
Masseuses can prepare for massage sessions for individuals by learning about their background, former injuries, pain and goals with this printable massage therapy intake form. Free to download and print
