Massage Therapy Screening Form

INSTANT DOWNLOAD - Professional Massage Therapy Screening Form for health assessment and client safety documentation. This comprehensive screening questionnaire helps massage therapists, bodyworkers, and wellness practitioners gather essential health information before treatment sessions.

WHAT'S INCLUDED:

Editable PDF screening form (fillable format)

Print-ready version for paper use

Professional layout with clear sections

Customizable header for your business branding

US Letter size (8.5" x 11")

FORM SECTIONS:

Client Information - Name, contact details, emergency contact, date of birth

Reason for Visit - Primary concerns and treatment goals

Current Health Screening - Comprehensive checklist organized by body system (cardiovascular, musculoskeletal, neurological, respiratory, skin conditions, infectious diseases, cancer, mental health, pregnancy)

Current Symptoms - Pain, numbness, stiffness, swelling, mobility issues

Pain Assessment - Location, intensity, and pattern tracking

Medications - Current medications and blood thinners

Allergies - Latex, oils, lotions, fragrances, adhesives

Lifestyle Factors - Occupation, exercise, sleep quality, stress levels

Previous Massage Experience - Treatment history and reactions

Treatment Preferences - Pressure, focus areas, room temperature, music

Contraindications Acknowledgment - Client confirmation of disclosure

Client Consent - Legal consent for treatment

Practitioner Section - Review notes and clearance documentation

WHY MASSAGE THERAPISTS NEED THIS FORM:

✓ Identifies contraindications before treatment

✓ Documents client health history for insurance and liability protection

✓ Helps customize treatment plans to individual needs

✓ Meets professional standards and regulatory requirements

✓ Protects your practice with proper screening documentation

✓ Improves client communication and treatment outcomes

✓ Streamlines intake process with organized checkbox format

PERFECT FOR:

Licensed Massage Therapists (LMT)

Bodywork Practitioners

Sports Massage Specialists

Spa and Wellness Centers

Mobile Massage Services

Massage Therapy Students

Holistic Health Practices

Therapeutic Massage Clinics

FILE DETAILS:

Format: PDF (editable and printable)

Size: US Letter (8.5" x 11")

Pages: 6 pages

Compatibility: Adobe Acrobat Reader (free software)

Delivery: Instant digital download - no shipping costs

EASY TO USE:

Download immediately after purchase

Open with Adobe Acrobat Reader

Customize with your business details

Save or print for client use

Store completed forms securely per HIPAA guidelines

PROFESSIONAL DESIGN:

Clean, organized layout makes it easy for clients to complete and for practitioners to review quickly. Checkbox format speeds up the intake process while ensuring comprehensive health information is collected. Professional appearance enhances your practice credibility and demonstrates commitment to client safety.

COMPLIANCE NOTES:

This screening form helps support your professional standards but should be reviewed by your legal advisor to ensure compliance with your specific state or provincial regulations, scope of practice, and insurance requirements. Practitioners are responsible for following all applicable laws and professional guidelines.

INSTANT ACCESS:

Digital download available immediately after purchase. No waiting for shipping. Access your files 24/7 from your Etsy account. Print unlimited copies for your practice.

CUSTOMER SUPPORT:

Questions about customization or use? Message us anytime for assistance. We're committed to helping wellness practitioners succeed with professional documentation.

PROFESSIONAL USE DISCLAIMER: This form template is designed as a documentation tool for licensed massage therapists and qualified wellness practitioners. It is not a substitute for professional medical advice, diagnosis, or treatment. Users are responsible for ensuring all forms comply with their local regulations, scope of practice, professional standards, and insurance requirements. Review with your legal advisor before use. Practitioners must follow HIPAA guidelines for storing and handling client health information. This screening form is intended to identify potential contraindications and gather health history but does not replace clinical judgment or medical clearance when needed. By purchasing, you agree that FormSolutionsPro is not liable for how you use, modify, or implement this form in your practice.