Client intake forms



so I have have 30 people from here download my intake forms and no one else is willing to share?
 


Hm, I haven't looked at your intake form Alan as I've been visiting my sister for a couple days and thier computer doesn't have all the programs that I have, and even checking on the activity here at MassagePlanetL is a little harder on their computer. I'd love a laptop.... *sigh*

But I did want to point out that if 30 people had opened your PDF file, and you are concerned that nobody else has shared theirs... it could be that none of the members who have checked out your intake form have theirs available online to share in such a manner. I don't have mine available online... I don't even have a website... :?

That being said, I think for most of us intake forms are sort of a "personal" thing. Things which one therapist may feel are vital another may not wish to have on the form at all. It just depends on the therapist and their practice.

Have you tried using the search function on the board here to find similar threads about health intake forms? It's just a thought!

Intake forms and Intent Statements:
http://www.massageplanet.com/forum/viewtopic.php?t=5883

Intake Forms Giving Them Up?
http://www.massageplanet.com/forum/viewtopic.php?t=5480

Intake Forms, Practical? (From the client's perspective)
http://www.massageplanet.com/forum/viewtopic.php?t=5261

Illegal to Photocopy Intake Forms?
http://www.massageplanet.com/forum/viewtopic.php?t=4884

Intake Forms:
http://www.massageplanet.com/forum/viewtopic.php?t=1461

Consent Form:
http://www.massageplanet.com/forum/viewtopic.php?t=632

Anyway, Welcome to the board, Alan of Dale, please don't let your lack of response so far in this thread get you down. It could be that members are busy and have plans to reply to you in the near future. :D
Go out and make it a wonderful day! :wink:
 


I do not have my intake form online but I would be happy to email it to you in a word document.

It would be interesting to have a thread exclusively for links to intake forms we use. I formed mine after viewing other therapists websites/intake forms. But I do not keep mine online because I just have clients fill it out when they come in.

PM me with an email addy if you'd like me to forward mine.
 


A variety of forms are available for free online:

Cheri Sohnen-Moe free forms
http://www.sohnen-moe.com/forms.php

Massage.ca health history and treatment notes
http://www.massage.ca/for_therapists.phtml

http://office.microsoft.com/en-us/templates/TC010266941033.aspx
Microsoft Word Template: Health history questionnaire

http://www.entrepreneur.com/Home/HM_Static/1,4472,formnet_financial,00.html
Financial Management Forms

______________________________________________________

I have not viewed or downloaded your forms. I would guess that most who have simply cannot post a link.

The forms that I use were purchased as part of either a marketing materials package or an insurance billing package. These forms are copyrighted material and are a business for the massage therapists who did the work to put them together for sale. I would not want to harm these women by making those forms available through this forum.
 


massagerelated said:
A variety of forms are available for free online:

Cheri Sohnen-Moe free forms
http://www.sohnen-moe.com/forms.php

Those are some nice ones. Thanks!!!!
 


Alan,
Mine is so similar to yours that you'd think we came up with it together! ha I don't have an acrobat version of it, but could pull one together & send. I changed & honed it over the years, weeding out some things, adding others. I think I first based it on one that was circulating a BPE class in school and some points I thought were valuable to ask that were on the intake form at the first couple of places I ever worked.

BTW, don't be discouraged if others don't reply as often as they read through other postings. Its just the nature of things on a message board. Today, for instance, I have participated madly compared to other times when I am just looking for a great read or the benefit of others' views.

take care!
jill/sagetherapist
 


Um, I saw this thread but didn't look at the forms and didn't post because I thought it was about questions regarding what to include on forms. I don't need to see others' and am not able to share my own, since it's not in a format I can upload.

Like Sage, my first one was cobbled from class and what I thought I needed where I was working (they didn't use them) and it's been weeded out and added to over the years to make it as brief and easy to read and use as possible, yet still get the input I need.

Intake forms are like resumes in that they should NOT exceed one page (exception for insurance billing/workmans comp/PIP). Therapists with six pages... :roll: I don't want to feel as if I'm at a physician's office. Just that impression starts making me nervous and takes away from the experience.
 


I do not have my intake form online either. Mine is one page, and I still get an occational complaint when I give it to a new client to fill out.

I started with the one ABMP provides, but I had many complaints that the print was too small. So, I had my mom redo it in larger print and make a few changes to it as well. I included a paragraph about missed appointments, added a few more questions, and added a few more blanks for such things as email address and cell phone number.

Christine
 


I don't have mine online yet (working on that), but I did look at yours (didn't copy it, just looked at it). Reading yours reminded me that it would be good to put a "who referred you" type of question on mine.

I agree with the others, don't get too bothered by people reading but not yet responding. I know if I don't have a lot of time, I might quickly look through, and plan to respond later.
 


I have the worst memory ever. :oops: I have the intake so I can remember how to contact them, remember which side of the body they have their booboos, and remember how they got to my practice, (mainly because I have a fair amount of people self-refer from my website.)

Then I also keep brief notes on every session, because I can't remember who got what treatment by the time they show up again a couple weeks later. :oops: I wish I had that kind of great memory, but I think I'm too easily distracted by shiny objects and flash animati... oooooh! look at the pretty fishy!....

...


:lol:
 


I have a one page intake form which I go over with my client, and make my own notes. That way I'm not asking them to do the chore of filling it out, instead I am chatting with them about their health history. I also find that I get more information that way as their verbal answers will sometimes prompt additional questions from me, leading to important information that would otherwise be missed. Yes, it takes more time, but I schedule my appointments to take that into account.

A few times I've been in a time crunch (clients are here on a cruiseship, I have 6 hours to give 5 one-hour massages). In those cases I email the intake form to the clients to fill out in advance. While I do look them over before the massage and ask additional questions, invariably I find that the client remembers one more thing while on the table. For instance I'll say, "I see you have a surgery scar on your right knee," and they respond, "Oh yeah, I forgot, I had surgery on that knee about a year ago." This happens even though there's a question about surgeries on the form. Granted this can happen when I go over the form with them, but it is definitely more frequent when they fill it out.

In addition, by chatting with them prior to the massage, it helps to put the client at ease. It's part of the relaxation process. It also gives them some time to enjoy my beautiful massage space instead of staring at a form prior to being face down in a face cradle.

On the backside of the intake form is the consent form, which includes something to the effect that all the information given is true to the best of their knowledge and that they presently have no condition that would make the release anything other than knowing and voluntary.

I don't have it online, but I'm happy to email to anyone.

Alan, I noticed that the sidebar on your website is alphabetical, which puts "Desserts" before the information about your services. Although I'm a great proponent of "Eat Dessert First!", :D you might want to rearrange. Just my two cents...
 


Hello barefoot! Just wanted to tell you I've had your website bookmarked for a year, (great site btw!) and my hubby and I are both going to come see you if we ever get to Cozumel! I LOVE barefoot shiatsu, I have one scheduled for tomorrow. YAY!
 


Thank you, I really like your website, too!

I used to be much more active on this board, now I pretty much just lurk. I was looking at the membership list and WOW this board has grown!

Sally
 
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    FRIDAY at 𝗦𝗨𝗡𝗥𝗜𝗦𝗘 𝗦𝗣𝗔: MICHELLE & SUMMER. 10 East Wilmot St, Unit 27, Richmond Hill, on ☎️ 𝟲𝟰𝟳-𝟯𝟮𝟱-𝟴𝟬𝟴𝟲 ☎️ MICHELLE is a young, curvaceous beauty, 5’2” & 130Lbs, 37DDD-31-41, a trim waist, and a nice butt. Come and be pampered. SUMMER is an incredibly sweet Asian babe, 5’3” with a captivating 36D-28-39 figure, weighing 108 pounds. Summer has very good massage & services.
  39. NewOriental:
    FRIDAY at 🍏💚𝗡𝗘𝗪 𝗢𝗥𝗜𝗘𝗡𝗧𝗔𝗟 𝗦𝗣𝗔💚🍏: HAPPY & LULU. 10 East Wilmot St, Unit 26, Richmond Hill, on ☎️ 𝟲𝟰𝟳-𝟯𝟴𝟭-𝟮𝟲𝟴𝟴 ☎️ HAPPY is a slim & busty Korean lady with great massage skills & lots of extra fun. LULU is a friendly and very sexy Vietnamese girl with natural B Cups, and a slim to medium frame. She is a lot of fun, and can be wild at times.
  40. ASPA:
    𝗙𝗥𝗜𝗗𝗔𝗬 𝗮𝘁 𝗔 𝗦𝗣𝗔: 𝗔𝗺𝘆 & 𝗯𝗲𝘀𝘁 𝗺𝗮𝘀𝘀𝗮𝗴𝗲 𝗥𝗮𝗰𝗵𝗲𝗹 🅰️𝐀 𝐒𝐏𝐀🅰️, 28 South Unionville Ave, Unit 5, Markham. 🅰️𝗖𝗮𝗹𝗹 𝟲𝟰𝟳-𝟳𝟮𝟵-𝟲𝟲𝟬𝟲 𝗼𝗿 𝘁𝗲𝘅𝘁 𝟲𝟰𝟳-𝟴𝟯𝟵-𝟱𝟵𝟲𝟲🅰️ AMY is young and very friendly, standing 158 Cms. with 34C Cups and a very nice bum. Amy is a very popular student, young, sexy, and open minded. She is in demand for her good massage
  41. HolidaySpa:
    Friday at 🌴😎🌅𝓗𝓸𝓵𝓲𝓭𝓪𝔂 𝓢𝓹𝓪🌅😎🌴3517 Kennedy Rd, Unit 4, Scarborough ☎️𝟰𝟯𝟳-𝟮𝟰𝟳-𝟭𝟭𝟵𝟵☎️Cindy & Lina Cindy is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit. Her services are among the best! Lina is very well known for her great services and her impressive shapely ass. Come and see why! You will be glad you did.
  42. ForeverWarden:
    Friday at 🫦❤️🔴🟥♾️𝓕𝓞𝓡𝓔𝓥𝓔𝓡 𝓢𝓟𝓐♾️🟥🔴❤️🫦 2190 Warden Ave, Unit 201, Scarborough 𝟰𝟭𝟲-𝟴𝟬𝟬-𝟳𝟴𝟴𝟳: Cindy, Mia, Nana & Sasa. Cindy is a slim beauty, 5’4”, natural C Cups & wonderfully long nipples. Her massage is nice, her bbbj will drive you wild & her cfs finish is a dream come true. Mia is a Caribbean service queen temptress with incredible curves. She can bbbj like a queen, & is open to dfk & cfs.
  43. Moon203:
    MoonMoon spa/416 887 8801/8131Yonge st #203 Persian Turkish i today
  44. Sparkling Spa:
    SLIM, SEXY JAPANESE CHANEL AND SEX GODDESS ZOE WORKING TODAY @⚡🌟SPARKLING SPA⚡🌟 ✅50 Lockridge Ave Unit 8✅ 👌Markham, ON L3R 8X4👌 ☎️(905) 604-8186 Spa Land Line☎️ ☎️(437) 446-6688 NEW Spa Cell Phone☎️Y🔥✅NEW MANAGEMENT💯NEW GIRLS🔥SUPERSTAR SERVICE QUEENS AVAILABLE AT SPARKLING SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS🔥💯😘
  45. Red Rose Spa:
    🌸 We have 7 hot brown girls today 🌸 ASHA, MALAY, SANA, AMANDA, EVE, AAVI, MAY, KIRAN 🌸 2588 Birchmount 🌸 2 Invergordon 🌸 647-702-8800 🌸 Please visit for a great erotic massage
  46. bumika.vashi:
    VASHI NAVI MUMBAI FULL SERVICE :oops: TeleGram: @BUMIKAVASHI ☎️ WhatsApp9️⃣9️⃣3️⃣0️⃣9️⃣1️⃣2️⃣6️⃣6️⃣9️⃣
  47. bumika.vashi:
    आपको बिना नाटक या नखरे करने वाला सर्विस चाहे तोह याद करना. :oops:If you want Service without Drama or Tantrums, Remember it.:oops: Will Try To Give You The Best Possible Sweating Experience With Full Company. TAKE MY WORD.?? 💋 Don't Waste Your Time And Money In Some Other Place Where You are Really Upset Loosing Out Both Money And Fun. Ok Try With Our Girls Once Then Your Visit Will Be Regular To Me.... _________________N O T E_________________ If u like my services Please Please Do not
  48. SpringGreen.:
    Spring Green Spa - 72 Gerrard St W. 2/Fl - 647-891-0699Today we have 5 girls on Thursday:New girl Tina💋💋 Vittoria- Sweet school girl with a large serving of naughtiness Angela- Slim beauty with long legs and nice proportions Julia- Exotic...
  49. Jenny’s Spa:
    🎉🍒JENNY’S SPA🎉🍒 ✅5170 DUNDAS STREET WEST✅ 👌ETOBICOKE ONTARIO M9A 1C4👌 ☎️(647-893-5196)☎️Call or Text ☎️(437-888-3759)☎️Call Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY 🔥✅GRAND OPENING💯NEW GIRLS EVERYDAY🔥EXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNY’S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS🔥💯😘🔥❤️👌 🔥TWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY🔥 💯REAL PICTURES OF ATTENDANTS💯 🔥TODAY’s ROSTER INCLUDES: Anna😘- A stunning sexy girl from Hong Kong
  50. Moon203:
    MoonMoon spa/416 887 8801/8131Yonge st #203 Cuban girl (Mimi) in today
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