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Massage therapy consent form

This massage therapy consent form is used by massage therapists to obtain consent from their clients before providing treatment. This form may also include information on the type of massage to be provided, the duration of the massage, the client's medical history, and the therapist's contact information.

Time to complete

2 minutes

Eligibility

A person must be at least 18 years old to consent to massage therapy.

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Questions for Massage therapy consent form

1.

Have you ever had a massage before?

The answer should be a single choice:
  1. Yes
  2. No
2.

What are your expectations from this massage session?

The answer should be a text input.
3.

How did you hear about this massage therapist?

The answer should be a single choice:
  1. Friend
  2. Search Engine
  3. Other
4.

What are your current health concerns?

The answer should be a text input.
5.

Are you taking medications currently?

The answer should be a single choice:
  1. Yes
  2. No
6.

Do you have any allergies?

The answer should be a single choice:
  1. Yes
  2. No
7.

Do you have any medical conditions that the massage therapist should be aware of?

The answer should be a text input.
8.

Is there anything else you would like the massage therapist to know before your session?

The answer should be a text input.
9.

I hereby give consent for the massage therapist to perform a massage on me. I understand that I may stop the massage at any time if I feel uncomfortable. I understand that the massage therapist will not diagnose or prescribe any medical condition and that I should see a physician for any medical concerns.

The answer should be a single choice:
  1. I Accept
  2. I Reject
10.

Date

The answer should be a date input.

Similar Ideas

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Here are some FAQs and additional information
on Massage therapy consent form

Do I need to provide a massage therapy consent form before I can provide treatment?

No. You are not required to provide a massage therapy consent form. However, it is strongly recommended that you do so in order to help protect yourself from potential liability.

What information should I include on my massage therapy consent form?

The information included on a massage therapy consent form will vary depending on the specific treatment being provided. However, in general, the form should include: • The name, address, and phone number of the massage therapist • The name, address, and phone number of the client • The date and time of the appointment • The type of massage being provided • The duration of the massage • The price of the massage • The client’s consent to the massage and to the use of any oils or lotions

Do I need to get a massage therapy consent form signed by my client before every session?

While it is not required by law, it is generally advisable to have your clients sign a massage therapy consent form before each session. This will help to ensure that your clients are aware of the treatment they are receiving and have consented to it.

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