Edit, Download, and Sign the Salt City Bodyworks Client Intake Form
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How do I fill this out?
Begin by entering your personal information in the designated fields. Answer each medical history question accurately to help the therapist provide a safe and effective massage session. Pay attention to the studio policies and client rights sections to understand the rules and regulations.
How to fill out the Salt City Bodyworks Client Intake Form?
1
Enter your personal information in the designated fields.
2
Answer medical history questions accurately.
3
Review studio policies and client rights.
4
Sign the form to acknowledge understanding and agreement.
5
Submit the completed form as instructed.
Who needs the Salt City Bodyworks Client Intake Form?
1
Clients seeking trauma-informed massage therapy need this form to provide necessary personal and medical information.
2
Massage therapists use this form to gather essential information about their clients' medical history and needs.
3
Medical professionals may reference this form when coordinating care with the massage therapist.
4
Individuals with chronic tension or pain can use this form to detail their specific areas of discomfort and receive targeted treatment.
5
People who have allergies or sensitivities can use this form to inform the therapist and ensure a safe session.
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With PrintFriendly's PDF editor, you can easily edit this PDF by entering your personal and medical information directly into the form. You can also make any necessary changes to the provided information and update it as needed. Save your edited form and it will be ready for submission.
1
Open the PDF in PrintFriendly's editor.
2
Enter your personal and medical information directly into the form fields.
3
Review and make any necessary changes to the provided information.
4
Add your digital signature to the signature field.
5
Save the edited form for submission.
What are the instructions for submitting this form?
Submit this form directly to Salt City Bodyworks via email at info@saltcitybodyworks.com. You may also choose to fax it to 123-456-7890, or deliver it in person at 123 Massage St., Suite 100, Salt Lake City, UT. For online submissions, use the provided online form on the Salt City Bodyworks website. Be sure to follow all submission instructions to ensure your information is received and processed promptly.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include annual updates and submission deadlines, which should be consulted with the massage therapist or studio.
What is the purpose of this form?
The purpose of this form is to gather essential personal and medical information from clients seeking trauma-informed massage therapy. It helps the massage therapist understand the client's medical history, current conditions, and specific areas of discomfort or tension, enabling them to provide a safe and effective massage session. Furthermore, the form outlines studio policies and client rights to ensure clear communication and understanding between the client and therapist.
Tell me about this form and its components and fields line-by-line.
- 1. Personal Information: Includes fields for Name, Emergency Contact Name, Date of Birth, Date of Initial Visit, Home Address, Phone, Emergency Contact Phone, Preferred Pronoun, and Email (optional).
- 2. Medical History: Fields for current medical supervision, mental health care, medications, and a checklist of medical conditions.
- 3. Studio Policies: Details about draping, late starts, cancellations, confidentiality, session termination, and other studio policies.
- 4. Signature: Field for client signature to acknowledge understanding and agreement.
What happens if I fail to submit this form?
If you fail to submit this form, the therapist may not have the necessary information to provide a safe and effective massage session.
- Lack of Information: The therapist will not have your personal and medical information needed to tailor the session to your needs.
- Risk of Adverse Reactions: Without knowing your medical history or allergies, the therapist may inadvertently cause harm.
How do I know when to use this form?
- 1. Initial Visit: Use this form during your first appointment to provide your personal and medical information.
- 2. Updating Information: Use this form to update any changes in your personal or medical information before subsequent visits.
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