What is a massage therapy intake form?
An intake form is the first piece of paperwork a new client completes. It tells you who they are, what they hope to get from massage and anything about their health that affects how you treat them safely.
- Contact details: Name, phone, email and emergency contact, so you can reach the client and a trusted person if needed.
- Health history: Medical conditions, injuries, surgeries, medications and allergies that may affect treatment.
- Goals and areas of concern: Where the client feels pain or tension, what they want to improve and their pressure preferences.
- Consent and signature: Confirmation that the client has answered honestly, understands the treatment and agrees to proceed.
Collecting the same information from every client keeps your records consistent and helps you spot anything that needs a conversation, or a referral, before the session starts.
Massage Therapy Intake Form
Massage Therapy Intake Form
Massage Therapy Intake Form Example
How to use this massage intake form
The template is designed to be quick to complete. Follow these four steps.
Step 1: Download the form
Download the blank form and print it, or send it to the client digitally so they can fill it in before arriving.
Step 2: Have the client complete it
Ask new clients to fill in every section. Leave time for questions, especially about health history.
Step 3: Review before the session
Read the answers before you begin. Note anything that changes how you treat, or that calls for a referral.
Step 4: File it securely
Keep the signed form with the client record in a secure place. It contains personal health information, so follow your local privacy rules.
Who can use this massage intake form?
Any massage practice that sees new clients, from solo therapists to multi-practitioner clinics. It works for:
- Relaxation and Swedish massage
- Deep tissue and sports massage
- Prenatal massage
- Mobile massage therapists
- Spa and wellness centres
- Clinics with several therapists
You can add or remove questions to suit your modalities and the information you need to treat safely.
Why is an intake form useful for massage therapists?
A good intake form protects your clients and makes the first session smoother:
- Safety: spot cautions and reasons to adapt treatment before you start.
- Personalised care: know each client’s goals and preferences from the first visit.
- Consistency: every new client gives you the same information in the same place.
Benefits of using a massage intake form
Safer treatment
Knowing a client’s health history helps you adapt techniques or decide when massage is not suitable.
Better first sessions
Time not spent chatting through forms is saved for treatment, so clients get more from the first visit.
Clear expectations
Goals and preferences written down mean you and your client start on the same page.
Organised records
A signed form becomes the foundation of the client’s file, ready for SOAP notes.
A professional impression
A clear, tidy form shows clients they are in careful hands.