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Online Intake Form For Massage Therapy

Online Intake Form For Massage Therapy Template for Indonesia

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Key Requirements PROMPT example:

Online Intake Forms For Massage Therapy

"I need an Online Intake Form For Massage Therapy for my small traditional massage practice in Jakarta, Indonesia, that's fully compliant with local regulations and includes Indonesian language options, with plans to implement by March 2025."

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Document background
Online Intake Forms For Massage Therapy are essential documents used in Indonesian healthcare and wellness settings to gather crucial client information before providing massage therapy services. These forms are designed to comply with Indonesian healthcare regulations, including Law No. 36 of 2009 on Health and the Personal Data Protection Law (UU PDP) 2022. The forms collect vital information about the client's health status, medical history, current conditions, and treatment preferences while securing necessary consents and acknowledgments. They serve as both a legal document and a clinical tool, enabling therapists to provide safe and appropriate care while protecting both the service provider and client. The digital format ensures accessibility and efficient record-keeping while meeting electronic transaction requirements under Indonesian law.
Suggested Sections

1. Personal Information: Collection of client's basic details including name, date of birth, contact information, and emergency contact details

2. Medical History: Documentation of client's general health conditions, previous injuries, surgeries, and ongoing medical treatments

3. Current Health Status: Information about present health conditions, medications, and immediate health concerns

4. Areas of Concern: Specific areas of the body where the client is experiencing pain or discomfort

5. Informed Consent: Client's acknowledgment of risks, benefits, and consent to treatment

6. Privacy Notice: Information about how personal data will be collected, used, and protected in compliance with Indonesian data protection laws

7. Payment and Cancellation Policy: Terms regarding payment methods, rates, and cancellation policies

8. Electronic Signature: Digital signature section complying with Indonesian electronic transaction laws

Optional Sections

1. Pregnancy Information: Additional questions for pregnant clients about pregnancy stage and related health considerations

2. Sport/Exercise History: Information about client's physical activities and sports-related concerns

3. Previous Massage Experience: Details about past massage therapy experiences and preferences

4. Photo/Video Consent: Optional consent for taking before/after photos or videos for treatment documentation

5. Marketing Communications Consent: Optional consent to receive promotional materials and updates

Suggested Schedules

1. Schedule A - Treatment Zones Diagram: Body diagram where clients can mark areas of concern or pain

2. Schedule B - Service Menu and Pricing: Detailed list of available massage services and their current rates

3. Schedule C - Contraindications List: Comprehensive list of health conditions that may prevent or modify treatment

4. Schedule D - Privacy Policy Details: Detailed privacy policy and data handling procedures in compliance with Indonesian law

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions






























Clauses

























Relevant Industries

Healthcare

Wellness and Spa

Alternative Medicine

Traditional Medicine

Medical Tourism

Digital Health Services

Professional Services

Relevant Teams

Legal

Compliance

Medical Records

Customer Service

Operations

Digital Services

Quality Assurance

Wellness Services

Client Relations

Information Technology

Relevant Roles

Massage Therapist

Wellness Center Manager

Spa Director

Healthcare Administrator

Compliance Officer

Medical Records Manager

Customer Service Representative

Digital Health Coordinator

Traditional Medicine Practitioner

Quality Assurance Specialist

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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