The Client Intake Form Massage Therapy is a critical document required for all professional massage therapy practices operating in Malta. It serves as both a legal requirement and a practical tool for providing safe and effective massage therapy services. The form must comply with Maltese healthcare regulations, the Data Protection Act (Chapter 586), and professional practice standards. It is designed to collect comprehensive client information, including medical history, current health status, contraindications for treatment, and informed consent. This document is essential for risk management, treatment planning, and maintaining proper clinical records in accordance with Maltese law. It should be completed before the first treatment session and updated periodically or when the client's health status changes significantly.
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1. Personal Information: Client's basic details including name, contact information, date of birth, occupation, and emergency contact
2. Medical History: Comprehensive health history including current medications, surgeries, injuries, and chronic conditions
3. Current Health Status: Present health concerns, symptoms, pain levels, and areas requiring attention
4. Lifestyle Information: Activities, stress levels, exercise habits, and other lifestyle factors affecting treatment
5. Treatment Consent: Client's informed consent for massage therapy treatment and acknowledgment of risks
6. Privacy Policy Agreement: GDPR-compliant privacy notice and consent for data processing
7. Payment and Cancellation Policy: Terms regarding payment, cancellation, and booking procedures
1. Physician Contact: Authorization to contact client's healthcare providers - used when medical coordination is needed
2. Pregnancy Information: Specific section for pregnant clients including due date, pregnancy-related conditions - used for pregnant clients only
3. Sports/Athletic History: Detailed sports participation and injury history - used for athletes or sports massage clients
4. Insurance Information: Insurance details and billing preferences - used when offering insurance billing options
5. Photo Consent: Permission to photograph treatment areas for clinical documentation - used when photo documentation is needed
1. Body Chart: Diagram for marking areas of pain, tension, or concern
2. Treatment Record: Ongoing documentation of treatments, techniques used, and client responses
3. COVID-19 Screening Form: Current health screening questions related to COVID-19 exposure and symptoms
4. Service Menu and Pricing: List of available treatments and current pricing structure
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