Massage Client Intake Form

Massage Client Intake Form Template for Singapore

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Key Requirements PROMPT example:

"I need a Massage Client Intake Form Free for my new wellness center in Singapore that includes comprehensive medical history collection and specific sections for sports injuries, as we'll be working primarily with athletes and need to ensure proper documentation for insurance purposes."

Document background

The Massage Client Intake Form is a fundamental document used by massage practitioners in Singapore to gather crucial information about clients before providing services. This form ensures compliance with Singapore's healthcare and personal data protection regulations while collecting essential medical history, current health conditions, and informed consent. It helps practitioners assess contraindications, customize treatments, and maintain proper documentation. The form serves as a risk management tool and establishes clear communication between the service provider and client regarding the scope and nature of services.

Suggested Sections

1. Personal Information: Client's basic contact details including name, address, phone, email, emergency contact, and identification details as required by Singapore regulations

2. Medical History: Comprehensive health information including current conditions, medications, allergies, surgeries, and previous injuries in compliance with Healthcare Services Act requirements

3. Consent Declaration: Client's explicit acknowledgment and agreement to treatment, including PDPA-compliant data collection consent

4. Privacy Notice: Detailed explanation of how personal information will be collected, used, and protected in accordance with Singapore's Personal Data Protection Act

Optional Sections

1. Pregnancy Information: Additional health information and considerations for pregnant clients or those who may be pregnant, including trimester, due date, and pregnancy-related conditions

2. Sports/Exercise History: Detailed information about physical activities, training regimens, and sports-related concerns for athletic clients

3. Pain Assessment: Comprehensive evaluation of pain locations, intensity levels, and patterns for therapeutic massage purposes

Suggested Schedules

1. Treatment Consent Form: Detailed consent form outlining specific treatments, risks, and client acknowledgments in compliance with Singapore healthcare regulations

2. Body Chart: Anatomical diagram for marking areas of concern, pain, or specific treatment requirements

3. Service Price List: Current pricing schedule for various massage services in compliance with Consumer Protection (Fair Trading) Act requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 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
Sports and Recreation
Beauty and Personal Care

Relevant Teams

Operations
Customer Service
Compliance
Medical Records
Legal

Relevant Roles

Massage Therapist
Spa Manager
Wellness Coordinator
Physical Therapist
Healthcare Administrator

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Let's create your Massage Client Intake Form

Authors

Alex Denne

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