Massage Therapy Client Intake Form Template

📋 4-Page Comprehensive Intake Form

✓ Client Contact Information Section

✓ Emergency Contact Details

✓ Complete Health History Questionnaire

✓ Current Medications & Physician Info

✓ 20+ Common Health Conditions Checklist

✓ Front & Back Body Diagrams for Pain/Tension Marking

✓ Massage Preferences (Pressure, Focus Areas)

✓ Professional Consent & Liability Section

✓ Client & Therapist Signature Lines

✓ Clean, Professional Design

✓ Easy-to-Read Format

✓ High-Resolution Print Quality

✓ Standard US Letter Size (8.5" × 11")

✓ Includes A4 Size Version for International Users

✓ Ready to Print and Use Immediately

💼 PERFECT FOR:

• Licensed Massage Therapists (LMT)

• Spa Owners & Managers

• Bodywork Practitioners

• Physical Therapists

• Wellness Centers

• Mobile Massage Services

• New Practice Startups

• Solo Practitioners

• Chiropractic Offices

• Holistic Health Centers

🎯 WHY THIS FORM SAVES YOU TIME & MONEY:

✅ PROFESSIONAL APPEARANCE - Impress clients from their very first visit with polished, organized documentation

✅ COMPREHENSIVE HEALTH SCREENING - Covers all essential health history questions to ensure safe, effective treatments

✅ LEGAL PROTECTION - Includes proper consent language and signature sections to protect your practice

✅ TIME-SAVING - No more creating forms from scratch or using handwritten notes

✅ CONSISTENT DOCUMENTATION - Every client gets the same thorough intake process

✅ BODY DIAGRAMS INCLUDED - Clients can visually mark areas of pain, tension, or concern

✅ PRINT UNLIMITED COPIES - One purchase gives you lifetime use with no restrictions

✅ INSTANT ACCESS - Download immediately after purchase and start using today

📄 WHAT YOU GET:

✓ High-Resolution PDF File (Ready to Print)

✓ US Letter Size (8.5" × 11")

✓ A4 Size Version (International Standard)

✓ 2 Complete Pages

✓ Professional Layout & Design

✓ Commercial Use License Included

FILE FORMAT: PDF

FILE SIZE: Approximately 3.3 MB

PAGES: 4

COMPATIBILITY: Works on all devices (Windows, Mac, iOS, Android)

✏️ FORM SECTIONS INCLUDE:

• Client Name, Address, Phone, Email

• Date of Birth

• Emergency Contact Information

• Current Physician & Contact Info

• Medical Care Status

• Current Medications List

• Previous Massage Experience

• Health Conditions Checklist:

- Headaches/Migraines

- Neck/Shoulder/Back Pain

- Arthritis & Joint Issues

- Blood Pressure Issues

- Heart Conditions

- Circulatory Problems

- Diabetes

- Cancer

- Pregnancy

- Recent Surgery

- And 10+ More Common Conditions

• Front & Back Body Diagrams

• Visual Marking System (Pain, Tension, Numbness)

• Massage Pressure Preferences

• Areas to Focus On

• Areas to Avoid

• Music Preferences

• Additional Notes Section

• Professional Consent Statement

• Client Signature & Date

• Therapist Signature & Date

• Practice Information Footer

🖨️ HOW TO USE:

1. Download the PDF file immediately after purchase

2. Print as many copies as you need

3. Have new clients fill out before their first appointment

4. Review with client before beginning treatment

5. File securely with client records

6. Reprint whenever you need more

PRINTING TIP: For best results, print on white or cream cardstock for a premium feel.

💡 BONUS BENEFITS:

✓ COMPLY WITH INDUSTRY STANDARDS - Meets common requirements for massage therapy documentation

✓ BUILD CLIENT TRUST - Thorough intake shows professionalism and care for client safety

✓ IMPROVE TREATMENT OUTCOMES - Better health information leads to more effective, personalized sessions

✓ REDUCE LIABILITY RISKS - Proper documentation and consent protect your business

✓ SAVES MONEY - No expensive template subscriptions or custom form design fees

✓ WORKS ANYWHERE - Print at home, office, or local print shop

📦 INSTANT DIGITAL DELIVERY:

This is a DIGITAL PRODUCT - no physical item will be shipped.

Upon purchase completion, you'll receive:

• Immediate download link from Etsy

• Access to files anytime through your Etsy account

• "Purchases and Reviews" section stores all downloads

• Files available forever - redownload anytime

DELIVERY TIME: Instant (within seconds of purchase)

📋 COMMERCIAL USE LICENSE:

✅ INCLUDED WITH YOUR PURCHASE:

• Use in your massage therapy practice

• Print unlimited copies for your business

• Use with unlimited clients

• Keep using forever - no subscription fees

• Perfect for solo practitioners OR multi-therapist clinics

❌ NOT PERMITTED:

• Reselling the digital files

• Redistributing or sharing the PDF

• Claiming the design as your own

• Including in template bundles for resale

❓ FREQUENTLY ASKED QUESTIONS:

Q: Can I edit this form digitally?

A: This is a fillable PDF designed to be printed and completed by hand. It cannot be edited digitally to add your logo or change fields.

Q: How many times can I print this?

A: Unlimited! Print as many copies as you need for your practice - forever.

Q: What size is the form?

A: Standard US Letter size (8.5" × 11"). An A4 version is also included for international users.

Q: Will this work in my spa/clinic?

A: Yes! This professional intake form works for any massage therapy, bodywork, or spa business.

Q: Can multiple therapists in my clinic use this?

A: Absolutely! Your commercial license covers your entire practice/business.

Q: Do you offer refunds?

A: Due to the digital nature of this product, all sales are final. However, if you experience any technical issues with your download, please contact us immediately and we'll help.

Q: What if I need help with the download?

A: Contact us through Etsy messaging within 24 hours, and we'll provide complete support.

Q: Is this HIPAA compliant?

A: This form collects appropriate health information. HIPAA compliance depends on how you store and handle the completed forms in your practice. Consult your legal advisor for specific compliance requirements.

🎯 WHY CHOOSE OUR FORMS:

We create professional business forms and templates designed specifically for massage therapists and wellness professionals. Every form is:

✓ Carefully designed with input from practicing therapists

✓ Formatted for easy reading and completion

✓ Covers all essential information and legal requirements

✓ Print-ready with professional appearance

✓ Affordable one-time purchase with lifetime use

💬 CUSTOMER SUPPORT:

Questions? We're here to help!

Contact us through Etsy messaging, and we'll respond within 24 hours (usually much faster). We're committed to making sure you're completely satisfied with your purchase.

🚀 START TODAY:

Transform your client intake process with this professional, comprehensive form. Click "Add to Cart" now and start impressing clients from their very first visit!

Your download will be available immediately after checkout. No waiting, no subscriptions, no hassle.

📱 SHARE WITH COLLEAGUES:

Know another massage therapist who needs professional intake forms? Share this listing! Every therapist deserves organized, professional client documentation.

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⚡ IMPORTANT NOTES:

• This is a DIGITAL PRODUCT - no physical item will be shipped

• Instant download after purchase - available in seconds

• For personal and commercial use in your massage therapy practice

• Files are high-resolution and print-ready

• Compatible with Windows, Mac, iOS, and Android devices

• Requires PDF reader (free Adobe Reader recommended)

• Print on any home or office printer

• Works with any paper size through print settings

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🎁 PAIR WITH:

Complete your practice paperwork with our other professional forms:

• SOAP Notes Template

• Session Treatment Log

• Gift Certificate Template

• Appointment Reminder Cards

[Visit our shop to see all available forms]

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📄 COPYRIGHT & USAGE:

© All Rights Reserved. This template is for your personal and commercial use in your massage therapy practice. You may not resell, redistribute, or share the digital files. You may print unlimited copies for use in your business.

✨ ORDER NOW - INSTANT DOWNLOAD ✨

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Click "Add to Cart" and start using professional client intake forms in your massage practice TODAY!

RETURN & EXCHANGE POLICY:

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Due to the nature of digital products, all sales are final. No returns or exchanges. However, if you experience any technical issues with your download, please contact us immediately for assistance.

***This form is provided for general informational and administrative purposes only and does not constitute medical or legal advice.***