Massage Consent Form Template
Understand your client's health history and get their consent before the session begins.
Massage therapy involves physical contact and can affect health conditions that aren't always visible. A completed intake and consent form helps therapists provide safer, more effective treatment — and ensures clients understand what to expect.
The template covers the client's health history (relevant conditions, medications, recent injuries or surgeries), areas to avoid, pressure preferences, the reason for seeking massage, consent to treatment, and acknowledgment of any relevant contraindications. A signature field closes the form.
A well-designed consent form isn't a liability shield — it's a communication tool. When clients feel that a therapist has read their intake carefully, they arrive more relaxed and trust develops faster.
Recent surgeries or injuries, skin conditions, blood clots or clotting disorders, pregnancy, cancer or recent cancer treatment, cardiovascular conditions, osteoporosis, and any areas of pain or numbness. Therapists should also ask about medications that affect circulation or sensation.
An initial comprehensive form is completed at first visit. Follow-up appointments can use a shorter update form asking about any changes since the last session. For existing clients, a brief verbal or written check-in is sufficient.
Yes — and this is the best practice. Sending it in advance means clients complete it without time pressure, and the therapist can review before the session begins. This leads to better, more tailored sessions.
Some conditions are absolute contraindications (the session should not proceed). Others are relative contraindications where modifications allow safe treatment. Your training and scope of practice determine how you proceed.
Yes, for any professional massage. The depth of the intake questions may vary based on the modality — a relaxation massage has a lighter intake than medical or sports massage.
Get inspired by relevant templates and categories
3200+ Templates, 300+ Integrations
Bank Reference Form
A reference request faxed to a bank branch and left sitting in a queue for weeks isn't the kind of turnaround a landlord or business can wait on. Collect the applicant's signed authorization and the specific details you need confirmed before the request even reaches the bank, so a decision isn't stuck behind a letter that hasn't come back yet.
View template
Personal Trainer Intake Form
A PAR-Q filled out in the lobby five minutes before a first session isn't intake, it's a formality nobody has time to read closely. Collect health history, injury information, and fitness goals before the first session, so your trainer isn't building a program blind.
View template
Pedicure Consultation Form
An intake card filled out on a clipboard while a client's feet are already in the soak isn't a consultation, it's a formality nobody reads closely. Collect foot health disclosures, allergy information, and service preferences before the technician picks up a tool, so nobody discovers a health condition mid-service.
View template
Bar Inventory Form
A bottle count eyeballed at the end of a shift and scrawled on a paper sheet doesn't hold up against a pour cost report that says something doesn't add up. Collect what your bar actually needs, item, count, and variance, on a schedule you can actually compare week to week.
View template
Equipment Inventory Form
Equipment that leaves a storage room in someone's arms, with no note about where it went, doesn't show up again until someone needs it and can't find it. Collect what your team actually needs, item details, condition, and who's got it, every time something moves.
View template
Hotel Room Booking Form
A room booked over the phone with "we'll figure out the room type when you get here" doesn't leave the front desk anything to actually plan around. Collect what your hotel actually needs, guest information, dates, and room preferences, before the reservation gets confirmed.
View template
With Typeform, you can customize everything
Change text, colors, and even logos to match the look and feel of your brand. Then embed forms smoothly onto web and email.
Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.
Stay efficient by connecting forms to your workflow. Typeform integrates with 300+ tools including Slack, Zapier, and HubSpot.
