All information relating to the Massage Therapy services provided information to a client is to be treated as confidential. Utilization of a client information sheet template makes the whole process of making client information sheets easier for experienced and inexperienced persons because it therapy is the most reasonable way to save time when making client information sheets. A referral from your primary care provider may be required prior to service being provided. Information from the client intake or medical record forms the basis for the first part of the CARE notes. Massage Therapy Industry Fact Sheet Review a compilation of data gathered by the American Massage Therapy Association® ( AMTA® ) from U. A massage therapy client intake form can never substitute sheet for your professional massage education for the experience that you’ ve gained in practice.
therapy I am aware of the benefits and. Client information sheet for massage therapy. Therapeutic Massage &. It is recommended that I sheet see a physician for any physical aliment that I may have. Considering Therapy? I have read understand the questions about the statements regarding the provisions of sheet the massage Client signature: _ _ _ _ _ Date: _ _ _ _ _ Client Waiver Massage therapy is not a substitute for medical examination diagnosis. the therapist uses his or her body to move therapy the client. Masseuse like the doctor when get you admitted take all your medical history in consideration so that there is no sort of injury caused to you. Documenting Massage Therapy with CARE Notes W.
Please take a moment to carefully read the following information and sheet sign where indicated. Proper draping will be used throughout the massage. Massage Therapy New Client Packet Agreement of Expectations, Medical History & Client Intake Waiver. Massage Client Intake Form Masseuses can prepare for massage sessions for individuals by learning about their background pain , former injuries goals with this printable therapy massage therapy intake form. We understand that pampering your client is your first priority whether they are coming to you to have their hair , enjoying a massage therapy session , nails done information an afternoon at the day spa. client agreement It therapy is my choice therapy to receive massage therapy. The Therapist will massage the necessary body parts to facilitate the massage excluding any contraindicated sheet areas. discontinue the massage. therapy Client Waiver Massage therapy is not a substitute for medical examination and diagnosis. Release information contained in the client’ s health record with the sheet sheet client’ s consent. This form was created as a resource by the american massage therapy association® and they are not held liable for any services provided. Client information sheet for massage therapy.But it can help to gather all the information in one place therapy make it easier sheet for you to provide the type , , intensity of massage best suited for information your client’ s needs wants. and the therapist will massage OVER the sheet or towel. The Therapist will not work the breast area without written consent by the client. A masseuse professional can make use of Massage Client Intake Form to keep record of sheet all the client visited with him/ her. docx Microsoft Word document. insurance sheet information client’ s full sheet name date. If at any time the client is uncomfortable with the massage, the Therapist will. Keep all your client details organized and at hand. Massage Therapy Intake Form.
Are you ready for a way to document important beauty massage spa information without using paperwork? If you have a specific medical condition specific symptoms massage/ bodywork may be contraindicated. Client Info Sheet TEMPLATE. Essential form to stay on top of your clients' key information. Associated Bodywork & Massage Professionals MEMBER Practitioner/ Clinic Name: _ _ _ _ _ Health Information information Contact Information: _ _ _ _ _ ( page 2 of 2) Health History Have you had any injuries or information surgeries in the past that may influence today’ s treatment? Client Intake Form Client Intake Form New.
Massage Client Intake Form: The personal information of the client is added in this form, this helps understand the Masseuse how to progress further because the treatment for female and male both is varied in aspects. Please read the following information and sign below: 1. I understand that although massage therapy can be very therapeutic, relaxing and reduce muscular tension, it is not a substitute for medical examination, diagnosis and treatment. This is a therapeutic massage and any sexual remarks or advances will terminate the.
client information sheet for massage therapy
Client Intake Form – Therapeutic Massage Personal Information: Name Phone ( Day) Phone ( Eve) Address City/ State/ Zip email Date of Birth Occupation Emergency Contact Phone The following information will be used to help plan safe and effective massage sessions. Please answer the questions to the best of your knowledge.