Massage Therapy Intake Form
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Massage Therapy Intake Form
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The Massage Therapy Intake Form is designed specifically for massage therapy practices, capturing the health history and treatment preference information that licensed massage therapists need for safe, effective bodywork. This template collects patient demographics alongside a detailed body map of tension and pain areas, pressure preference (light, medium, firm, deep), areas to focus on and areas to avoid, and treatment goals (relaxation, pain relief, injury recovery, flexibility, stress management). The form balances thoroughness with simplicity, recognizing that massage clients expect a streamlined intake process.
Built for therapeutic massage, sports massage, deep tissue, prenatal massage, and relaxation massage practices, this form includes critical contraindication screening covering current injuries, recent surgeries, skin conditions (rashes, wounds, burns, contagious conditions), cardiovascular conditions (blood clots, varicose veins, uncontrolled hypertension), pregnancy status and trimester, cancer or active treatment, osteoporosis, diabetes, and areas of numbness. The medication section focuses on blood thinners, muscle relaxants, pain medications, and topical treatments that may affect the massage session. Health history captures relevant conditions without being overly clinical.
All fields are HIPAA-compliant and structured for the massage therapy intake workflow. The contraindication screening ensures client safety by identifying conditions that require modification of technique, avoidance of certain areas, or physician clearance before treatment. The preference section helps the therapist customize the session to the client's needs from the first appointment, improving client satisfaction and retention.
What's included
- Body map for tension and pain area identification
- Pressure preference and treatment goal selection
- Contraindication and safety screening checklist
- Areas to focus on and areas to avoid documentation
- Health history and current medication review
- Informed consent for massage therapy
- E-signature capture
- Structured medication list with dosage and frequency tracking
Who uses this template
- Licensed massage therapy and bodywork practices
- Spa and wellness center massage services
- Sports massage and athletic recovery programs
- Prenatal and postnatal massage clinics
All form fields
14 fields across 3 pages. Customize any field after signing up.
How to use the Massage Therapy Intake Form
Getting started with this template takes just a few minutes. Sign up for a free Formisoft trial, then select the Massage Therapy Intake Form from the template library. The form is ready to use immediately, but you can customize every field, add your practice logo, and adjust the layout to match your workflow.
Setup steps
- 1Choose the template. Find the Massage Therapy Intake Form in the template library and click “Use this template” to add it to your account.
- 2Customize fields. Add, remove, or reorder any of the 14 fields. Set fields as required or optional based on your practice needs.
- 3Brand it. Upload your logo, pick your colors, and add a custom welcome message so patients see your practice identity.
- 4Share with patients. Send the form via SMS, email, or embed it on your website. Patients complete it on any device before their visit.
- 5Review submissions. Responses appear in your dashboard in real time. Patient records are created automatically from the data collected.
Frequently asked questions
Is the Massage Therapy Intake Form HIPAA compliant?
Yes. All Formisoft templates, including the Massage Therapy Intake Form, are HIPAA compliant. Data is encrypted with 256-bit AES at rest and TLS 1.3 in transit. A Business Associate Agreement (BAA) is included on every plan.
Can I customize the fields in this template?
Absolutely. You can add, remove, reorder, or modify any of the 14 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.
How do patients fill out this form?
Patients receive a link via SMS, email, or QR code. They complete the form on their phone, tablet, or computer before their appointment. No app download required.
Can I send this form automatically before appointments?
Yes. Formisoft's workflow automation can send intake forms automatically when an appointment is booked. You can set the timing (e.g., 48 hours before the visit) and include reminders for patients who haven't completed it.
Does this template work on mobile devices?
Yes. The Massage Therapy Intake Form is fully responsive and works on any device. Most patients complete intake forms on their phone, so every template is optimized for mobile-first use.
Start with this template
Sign up and start customizing the Massage Therapy Intake Form for your practice. Set up in minutes.
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