Massage Forms are essential legal documents required for massage therapy practices operating in the United States. These forms serve as the foundation for establishing a professional therapeutic relationship while ensuring compliance with federal and state regulations. They are designed to be used at the initiation of services and updated periodically as needed. The forms collect crucial information about the client's health status, document informed consent, outline service agreements, and establish liability protections. They incorporate HIPAA compliance requirements, state-specific massage therapy practice regulations, and professional standards of care. These documents are particularly important in risk management and maintaining professional boundaries in therapeutic settings.
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1. Client Information: Basic personal and contact information of the client, including emergency contact details
2. Medical History: Comprehensive health questionnaire covering current and past medical conditions, medications, surgeries, and injuries
3. Informed Consent: Clear explanation of massage therapy, its risks and benefits, and client's acknowledgment and agreement to treatment
4. Treatment Preferences: Client's preferences regarding pressure, areas to focus on or avoid, and specific concerns to be addressed
5. Privacy Policy: HIPAA-compliant statement on how client information is collected, used, stored, and protected
6. Liability Waiver: Legal disclaimer and release of liability for potential risks associated with massage therapy
7. Payment and Cancellation Policy: Clear terms regarding fees, payment methods, cancellation requirements, and associated penalties
8. Client Rights and Responsibilities: Statement of client's rights to privacy, professional conduct, and responsibilities during treatment
1. Pregnancy Intake Form: Additional questions and considerations for pregnant clients, used when client indicates pregnancy
2. Insurance Billing Authorization: Required when client wishes to bill massage therapy to insurance, including policy information and authorization
3. Minor Consent Form: Additional parental/guardian consent section required for clients under 18 years of age
4. COVID-19 Screening: Additional health screening specific to COVID-19 exposure and symptoms, used during active health concerns
5. Photo/Video Release: Optional consent for taking before/after photos or videos for treatment documentation
6. Membership Agreement: Terms and conditions for recurring membership programs or package deals
1. Schedule A - Detailed Service Menu: Complete list of available massage services, durations, and prices
2. Schedule B - Contraindications List: Comprehensive list of conditions that may prevent or modify massage treatment
3. Schedule C - Treatment Documentation: SOAP notes template for therapist's use in documenting each session
4. Appendix 1 - Anatomical Charts: Body charts for marking areas of concern or treatment focus
5. Appendix 2 - Home Care Instructions: Post-treatment care instructions and exercises
6. Appendix 3 - Emergency Protocols: Emergency procedures and contact information for various situations
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