Templates Health & Wellness Massage Client History Form Template

Massage Client History Form Template

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Client's Details

Full Name

Emergency Contact Details

Contact Name

Massage Objective

Selected Value: 7

Health History

Lifestyle Snapshot

Consent for Treatment

I hereby give consent to the massage treatments and procedures.

The all-new Massage Client History Form Template by WPForms helps enhance the massage therapy experience for both therapists and clients.

How Does the Massage Client History Form Template Work?

The Massage Client History Form Template is built with our easy-to-use, drag-and-drop form builder and features fields available to WPForms Pro license subscribers. It is structured to include several crucial sections, such as:

  • Client’s Details: The form begins with essential information like the client’s name, email, phone number, birth date, and gender. This ensures clients feel cherished and understood right from the start.
  • Emergency Contact: This section, as the name implies, is devoted to emergency contact data. This ensures therapists have a dependable contact point should any unforeseen situation occur.
  • Massage Objective: This area lets clients elaborate on their primary reasons for seeking a massage. Details like the nature of discomfort, pain intensity, and frequency give therapists a blueprint to work from.
  • Health History: A thorough understanding of a client’s past health and any prior massage treatments empowers therapists to offer a tailored massage experience for maximum satisfaction and comfort.
  • Lifestyle Snapshot: Realizing that daily life routines impact body wellness, this segment captures info on the client’s job, hours spent working weekly, and regular physical activities.
  • Treatment Permission: This section, enhanced with a digital signing feature (accessible to WPForms Pro License holders via the Signature Addon), solidifies this bond, ensuring clarity and respect for client choices.

Sign up with WPForms today and access the Massage Client History Form Template. Create an easy system for getting to know potential clients while streamlining the intake procedure for scheduling an appointment date with customized care.