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Massage Therapy Intake Form

Asks about contact information (Phone or email), emergency contact (Name and phone number), and have you had a professional massage before. Built for licensed massage therapy and bodywork practices.

Questions
17
Page
1
Time
about 4 min

Includes

  • E-signature
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Your practice

Live preview. Tap through it like a patient.

Who it is for

  • Licensed massage therapy and bodywork practices
  • Spa and wellness center massage services
  • Sports massage and athletic recovery programs
  • Prenatal and postnatal massage clinics

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What's inside

  1. Full NameText · Required
  2. Date of BirthDate · Required
  3. Contact Information (Phone or Email)Text · Required
  4. Emergency Contact (Name and Phone Number)Text
  5. Have you had a professional massage before?Dropdown · 2 choices · Required
  6. What is the primary reason for today's massage? (e.g., relaxation, pain relief, injury recovery)Long Text · Required
  7. Are there any specific areas of the body you'd like us to focus on?Long Text
  8. Please indicate any areas of the body you would like us to avoidLong Text
  9. Do you have any of the following health conditions? (Check all that apply)Checkbox · 10 choices
  10. If you selected 'Other', please specifyLong Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Massage Therapy Intake Form, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

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Questions

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 17 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Massage Therapy Intake Form for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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