Massage intake form template

Generate professional massage intake forms in seconds with AI. Collect health history, consent, and preferences digitally or as printable PDF — free.

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Who is this massage intake form for?

This massage intake form template is built for licensed massage therapists, spa owners, wellness studios, and independent practitioners who need to collect comprehensive client health information before treatments. Whether you're running a luxury day spa, sports therapy clinic, or mobile massage practice, this form streamlines new client onboarding by gathering essential health history, medical conditions, treatment preferences, and consent documentation in one professional package. The template includes all necessary fields for safe practice: current medications, contraindications, pressure preferences, areas of concern, and liability waivers. Perfect for therapists offering Swedish, deep tissue, prenatal, or sports massage who want to move beyond paper forms to digital client management. You can share it instantly via link, embed it on your booking website, or print it as a PDF for in-person use. No coding required — just customize the fields, match your spa's branding, and start collecting client information in minutes.

<div class="fields-overview"> <h2>What's included in this massage intake form template</h2> <div class="fo-card"> <h3>Client Information and Emergency Contacts</h3> <p class="card-desc">Collect essential contact details and emergency information for safe practice and client communication.</p> <div class="field-list"> <div class="field-item"> <span class="field-label">Full Name</span> <span class="field-badge badge-basic"> <i class="fal fa-font"></i> Short Text </span> </div> <div class="field-item"> <span class="field-label">Email Address</span> <span class="field-badge badge-basic"> <i class="fal fa-envelope"></i> Email </span> </div> <div class="field-item"> <span class="field-label">Phone Number</span> <span class="field-badge badge-basic"> <i class="fal fa-phone"></i> Phone Number </span> </div> <div class="field-item"> <span class="field-label">Date of Birth</span> <span class="field-badge badge-basic"> <i class="fal fa-calendar-alt"></i> Date Picker </span> </div> <div class="field-item"> <span class="field-label">Emergency Contact Name</span> <span class="field-badge badge-basic"> <i class="fal fa-font"></i> Short Text </span> </div> <div class="field-item"> <span class="field-label">Emergency Contact Phone</span> <span class="field-badge badge-basic"> <i class="fal fa-phone"></i> Phone Number </span> </div> </div> </div> <div class="fo-card"> <h3>Comprehensive Health History Assessment</h3> <p class="card-desc">Gather critical medical information, medications, and contraindications to ensure safe massage therapy treatment.</p> <div class="field-list"> <div class="field-item"> <span class="field-label">Current Medications</span> <span class="field-badge badge-basic"> <i class="fal fa-align-left"></i> Long Text </span> </div> <div class="field-item"> <span class="field-label">Allergies</span> <span class="field-badge badge-basic"> <i class="fal fa-align-left"></i> Long Text </span> </div> <div class="field-item"> <span class="field-label">Medical Conditions</span> <span class="field-badge badge-choice"> <i class="fal fa-check-square"></i> Multiple Choice </span> </div> <div class="field-item"> <span class="field-label">Pregnancy Details</span> <span class="field-badge badge-basic"> <i class="fal fa-align-left"></i> Long Text </span> </div> <div class="field-item"> <span class="field-label">Recent Injuries or Areas of Concern</span> <span class="field-badge badge-basic"> <i class="fal fa-align-left"></i> Long Text </span> </div> <div class="field-item"> <span class="field-label">Physician Approval</span> <span class="field-badge badge-choice"> <i class="fal fa-dot-circle"></i> Single Choice </span> </div> </div> </div> <div class="fo-card"> <h3>Treatment Preferences and Session Goals</h3> <p class="card-desc">Customize massage sessions based on client preferences, pressure tolerance, and therapeutic objectives.</p> <div class="field-list"> <div class="field-item"> <span class="field-label">Preferred Massage Type</span> <span class="field-badge badge-choice"> <i class="fal fa-caret-square-down"></i> Dropdown </span> </div> <div class="field-item"> <span class="field-label">Pressure Preference</span> <span class="field-badge badge-choice"> <i class="fal fa-dot-circle"></i> Single Choice </span> </div> <div class="field-item"> <span class="field-label">Areas to Focus On</span> <span class="field-badge badge-choice"> <i class="fal fa-check-square"></i> Multiple Choice </span> </div> <div class="field-item"> <span class="field-label">Areas to Avoid or Use Caution</span> <span class="field-badge badge-basic"> <i class="fal fa-align-left"></i> Long Text </span> </div> <div class="field-item"> <span class="field-label">Previous Massage Experience</span> <span class="field-badge badge-choice"> <i class="fal fa-dot-circle"></i> Single Choice </span> </div> <div class="field-item"> <span class="field-label">Goals and Expectations</span> <span class="field-badge badge-basic"> <i class="fal fa-align-left"></i> Long Text </span> </div> </div> </div> <div class="fo-card"> <h3>Professional Consent and Liability Documentation</h3> <p class="card-desc">Secure informed consent, establish treatment boundaries, and protect both client and therapist with professional documentation.</p> <div class="field-list"> <div class="field-item"> <span class="field-label">Informed Consent Agreement</span> <span class="field-badge badge-choice"> <i class="fal fa-check-square"></i> Checkbox </span> </div> <div class="field-item"> <span class="field-label">Communication Consent</span> <span class="field-badge badge-choice"> <i class="fal fa-check-square"></i> Checkbox </span> </div> <div class="field-item"> <span class="field-label">Health Changes Notification</span> <span class="field-badge badge-choice"> <i class="fal fa-check-square"></i> Checkbox </span> </div> <div class="field-item"> <span class="field-label">Liability Waiver</span> <span class="field-badge badge-choice"> <i class="fal fa-check-square"></i> Checkbox </span> </div> <div class="field-item"> <span class="field-label">Privacy Notice Agreement</span> <span class="field-badge badge-choice"> <i class="fal fa-check-square"></i> Checkbox </span> </div> <div class="field-item"> <span class="field-label">Client Signature</span> <span class="field-badge badge-advanced"> <i class="fal fa-signature"></i> Signature </span> </div> <div class="field-item"> <span class="field-label">Date</span> <span class="field-badge badge-basic"> <i class="fal fa-calendar-alt"></i> Date Picker </span> </div> </div> </div> </div>

FAQ

What is a massage intake form?

A massage intake form is a comprehensive questionnaire that collects a client's health history, medical conditions, medications, and treatment preferences before their first massage session. It helps therapists identify contraindications, customize treatments safely, and obtain informed consent for bodywork.

What fields should a massage intake form include?

Essential fields include contact information, medical history, current medications, allergies, recent injuries, pressure preferences, areas to focus on or avoid, pregnancy status, and consent sections. Many forms also include treatment goals, previous massage experience, and emergency contact details for comprehensive client records.

Can I customize this massage intake form?

Yes, you can fully customize this template by adding or removing fields, changing questions, updating consent language, modifying colors and fonts, and adding your spa's logo. You can also create modality-specific versions for prenatal, sports, or hot stone massage treatments.

Is this massage intake form free to use?

Yes, this massage intake form template is completely free to use with unlimited responses and no credit card required. You can share it digitally, print it as a PDF, collect client information, and integrate responses with Google Sheets at no cost.

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