• - Massage Client Intake and Consent Form - Nutrition Plus
    Name. Date of Birth. ❑ Male ❑ Female. Address. City. State ______ Zip. Phone. Email. Employer. Occupation. How did you hear about us? Referred By. In Case ...
  • - Client Consent and Intake Form for Bodywork and Massage Treatments
    Have you had massages, bodywork/treatments before? Do you wear contact lenses? Do you wear dentures? Are you currently under a physician's care?
  • - Massage Therapy Consent Form - Therapeutic Touch
    Massage Therapy Consent Form. Please read carefully and sign before receiving therapy. All information provided is confidential and will not be given out to ...
  • - informed consent form - Mischa Bradford, LMT
    I, (client's name). , understand that the massage I receive is for the purpose of stress reduction and relief from muscular tension, spasm, or pain and to increase.
  • - Client Intake FormMassage Therapy - Damselfly YogaSpa Yoga ...
    The following information will be used to help your massage therapist plan a safe and effective massage session. Please answer the questions to the best of ...
  • - CLIENT INTAKE AND CONSENT FORM Date - Om Land Yoga
    CLIENT INTAKE AND CONSENT FORM Date: Name: ... How did you hear about Om Land Massage? ... Have you ever received a professional massage?
  • - MASSAGE THERAPY CLIENT CONSENT FORM In keeping with the ...
    MASSAGE THERAPY CLIENT CONSENT FORM. In keeping with the Health Care Consent Act, it is my choice to receive massage therapy. I understand that an ...
  • - client intake form - American Massage Therapy Association
    It is my choice to receive massage therapy. I am aware of the benefits and risks of massage and give my consent for massage. I understand that there.
  • - Massage Therapy Services' Consent Form - Spa On Location
    Massage Therapy Services' Consent Form. THIS FORM MUST BE COMPLETED & SIGNED BEFORE RECEIVING A MASSAGE. General & Medical Information.
  • - Massage Therapy Consent - University of Michigan
    I understand a certified massage therapist will work on areas of tension, pain, or ... I have read and understand the information on this form before I signed it. 10.
  • - client intake form/waiver - Selah Bodyworks
    I have stated all my known medical conditions on the Client Intake Form and take it upon myself to keep the massage therapist updated on my physical health.
  • - Client Agreement I, , understand that the massage ... - Normandy Farms
    CHILD SERVICE RELEASE FORM FOR MASSAGE THERAPY. We believe everyone can benefit from receiving massages even children. What better.
  • - Massage Therapy Informed Consent: Please read the following ...
    Massage Therapy Informed Consent: ... Needs assessment and treatment plan including client health history form, assessment and examination procedures,.
  • - Client Intake Form – Therapeutic Massage - Advanced Holistic Health
    Client Intake Form – Therapeutic Massage. Personal Information: Name. Phone (Day). Phone (Eve). Address. City/State/Zip email. Date of Birth. Occupation.
  • - Sports Massage Therapy Consent Form THIS FORM MUST BE ...
    I understand that the massage I receive is provided for the basic purpose of relaxation and relief of muscular tension. If I experience any pain or discomfort ...
  • - Massage Therapy Consent Form Your answers to the questions on ...
    Massage Therapy Consent Form. Your answers to the questions on this form are essential to a safe, effective massage therapy session. Please take time to ...
  • - Client Intake Form – Therapeutic Massage - Willow River Chiropractic
    Client Intake Form – Therapeutic Massage. Personal Information: Name. Phone (Day). Phone (Eve). Address. City/State/Zip email. Date of Birth. Occupation.
  • - Massage Therapy Intake Forms - Haven Health and Wellness Centre
    I understand this consent form and have answered each truthfully. I understand that a record will be kept on my personal information and the healthcare services ...
  • - Informed Consent and Waiver Acknowledgement
    If under 18, parent/guardian consent is also required. Please review this ... Massage Client Information & Informed Consent Form. Completely read this ...
  • - Student Massage Clinic - Body Therapy Institute
    PURPOSE: This Clinic is part of the Massage Therapy Diploma Program at BTI. ... own Client Consent Form and Health Questionnaire before arriving for the ...
  • - Massage Therapy Registration and Consent Form - Adventist Health
    I give consent to receive massage therapy and agree to pay the fee upon completion of this service. As a courtesy to the massage therapist I will cancel my ...
  • - Massage Therapy Informed Consent - FIU Student Affairs - Florida ...
    MASSAGE THERAPY INFORMED CONSENT. I,. (client) understand that massage therapy provided by FIU's Student Health Services. Wellness Center, is ...
  • - Sample Massage Therapy Client Informed Consent Form
    Thu, 25 Oct 2018 06:07:00. GMT sample massage therapy client informed pdf. - 14 Massage Consent. Forms in PDF. ... then there are consent forms in pdf.
  • - No Deep No Massage Intake Form - Sun Health Wellbeing
    2. CONSENT FOR MASSAGE TREATMENT. Please initial each line and sign at bottom. _____. I have the right to end the massage therapy at any time, if I feel ...
  • - Client Intake Form - Therapeutic Massage - Calm Spirit Acupuncture
    Emergency Contact: Phone #:. HOW DID YOU HEAR ABOUT US? The following information will be used to help plan safe and effective massage sessions.
  • - Massage Client Information and Consent Form Name: Date of Birth: Add
    I understand that the massage/body work I receive is provided for the basic purpose of relaxation, stress reduction, and relief of muscular tension. If I experience ...
  • - Oncology Massage Consent form Updated 10.30.17 - Thrive Wellness ...
    massage therapy for the person living with cancer is performed for stress ... By signing this form, client's attending physician acknowledges receipt of information.
  • - Informed Consent Form - Association of Massage Therapists
    massage therapy informed consent. I, (Client's Name) have chosen to consult with and hereby give consent for massage therapy to be provided by (Therapist's ...
  • - MASSAGE THERAPY INTAKE FORM For Use by ... - Aquarius Wellness
    MASSAGE THERAPY INTAKE FORM. For Use by Clients of an Independent Contractor Massage Therapist. Personal Information. Name: Occupation: Address:.
  • - Massage Informed Consent Form - Spa Phoenix
    Massage Informed Consent Form. I understand that the massage therapist does not diagnose illness, disease or any other physical or mental disorder. As such ...


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