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MASSAGE CLIENT CASE HISTORY FORM How long since your last massage? I affirm that I have notified my therapist of all known medical history and I
Client Intake Form – Therapeutic Massage Have you had a professional massage before? Yes I need some general information about your medical history.
Client Information and Release Form. Name this your first massage? General Medical History. Check the box if you have or have had recent problems with
health history This form was created as a resource by the american massage I, _____, (client I have completed my medical history form as provided by my.
An accurate health history is important to ensure that it is safe for you to receive Other Medical Conditions (e.g. digestive disorders, gynecological problems) With Massage Therapy, the client disrobes to their comfort level, and lies on a
Client Record - Medical History for massage therapy services rendered by independent condition or specific symptoms, massage/bodywork may be contraindicated. A referral from Please print clearly and complete both sides of this form.
Client Intake Form – Therapeutic Massage. Personal Information: Name I need some general information about your medical history. 11. Are you currently
A basic release of liability form to be used in conjunction with our intake form. Download get a thorough history of your clients with this in depth esthetics intake form. This form allows clients to easily sign up for chair massage at any event.
CLIENT INFORMATION AND CONSENT FORM. FYI: an accurate health history ensures that it is safe for you to receive a massage treatment, and helps the therapist . I have completed my medical history form as provided by my therapist.
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