Contents of the Template:
- Personal Information: Full name, address, city, state, zip code, contact details, email, date of birth, occupation, and emergency contact information.
- Medical Information: Details about the current medical practitioner, medical supervision, pregnancies, recent surgeries, allergies, medications, and existing medical conditions.
- Massage Therapy History: Previous experience with professional massage, reasons for prior sessions, timing of the last massage, areas of discomfort or pain, and pressure preferences.
- Treatment Goals and Preferences: Primary reasons for the visit, areas the therapist should focus on or avoid, massage type preferences, and any special requests.
Why Use This Template:
- Efficiency: Streamlines the client intake process, ensuring no important details are missed.
- Consistency: Provides a standardized format for all clients, making information collection uniform.
- Professionalism: Displays a thorough and organized approach to client care.
- Easy to Modify: Available in multiple formats like Word and Google Docs which makes it simple to tailor according to specific needs.
Ideal For:
- Massage Therapists: Whether you’re an independent practitioner or part of a larger spa or clinic.
- Massage Therapy Clinics and Spas: Helps in maintaining a consistent record across multiple therapists.
- Massage Therapy Schools: Can be used as a teaching tool for students to understand client data collection.
- Wellness Centers: Where massage therapy is one of the many services offered to clients.