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Massage Therapy Consent Form Template

Collect client health information and informed consent before every massage session. Capture contraindications, treatment preferences, and the client's agreement to your practice's policies.

Massage Therapy Consent Form Template

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Massage therapy isn't risk-free — certain medical conditions, medications, and recent procedures are contraindications that practitioners need to know about before treatment. A thorough intake and consent form protects clients by prompting disclosure and protects therapists by documenting what was communicated before the session began.

This template covers the client's personal details, reason for seeking massage, areas of focus and areas to avoid, current health conditions and medications, recent injuries or surgeries, skin conditions that may affect treatment, pressure preference, draping preferences, the therapist's scope of practice statement, and a consent signature. An ongoing client update section captures changes at return visits without making repeat clients complete the full form again.

Licensed massage therapists, day spas, chiropractic offices, and wellness centers use intake and consent forms before every new client's first session. Send the link ahead of the appointment for pre-arrival completion. Review the health update section with returning clients before each session. Store signed forms in the client record and note any flagged conditions in the session plan.

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Massage Therapy Consent Form Template FAQs:

A shorter health update form at each return visit is best practice. Reserve the full intake for new clients and whenever there's been a significant health change.

Contraindications include acute inflammation, blood clots, severe osteoporosis, certain skin conditions, and recent surgery. The form should list common ones — the therapist assesses case by case.

Yes — send the link by SMS or email. Clients complete it comfortably in advance rather than filling out paper forms on arrival.

In most jurisdictions, yes. Consult your professional insurance provider to confirm their requirements for intake documentation.

Add a conditional note when specific conditions are disclosed, advising the client to obtain physician clearance before treatment. Document that this advice was given.

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