Client intake forms

  • Thread starter Thread starter Toniann
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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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    ๐ŸŒบ๐Ÿ’„๐Ÿฅฐ๐Ÿ”ฅ Wonder spa [9421Jane st unit 127)Please โ˜Ž๏ธ4165000-800,if you need to find a comfortable... ๐ŸŒบ๐Ÿ’„๐Ÿฅฐ๐Ÿ”ฅ Wonder spa [9421Jane st unit 127)Please โ˜Ž๏ธ4165000-800,if you need to find a comfortable place to revive your body come visit us.beautiful attendants AMY Mina Mimi seevice you relieve stresses.๐Ÿ˜Amy is very sexy and long hair fridendly girl, Mimi is younge sexy girl excellent service make...
  34. Newspring@:
    ๐ŸŒนNu spring spa โค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅ sexy hot Viennese and Latino girl working at Nu spring spaโ˜Ž๏ธ 416-669-8508โค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅโค๏ธโ€๐Ÿ”ฅ
  35. Sparkling Spa:
    Sexy Korean Massage Girl Summer is working at Sparkling Spa with Service Queen Zoe today. Real pictures of Summer & Zoe๐Ÿ’ฏ๐Ÿ’ฏCall or text to book appointment ๐Ÿ“ฒ โšก๏ธ๐ŸŒŸSPARKLING SPAโšก๏ธ๐ŸŒŸ โœ…50 Lockridge Ave Unit 8โœ… ๐Ÿ‘ŒMarkham, ON L3R 8X4๐Ÿ‘Œ โ˜Ž๏ธ (905) 604-8186 Spa Land Lineโ˜Ž๏ธ โ˜Ž๏ธ (437) 446-6688 NEW Spa Cell Phoneโ˜Ž๏ธ (West of Warden & 16th Ave) OPEN 10am to 9pm MONDAY to SUNDAY
  36. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Today๐ŸŒธAletta๐ŸŒธYoyo๐ŸŒธCarly๐ŸŒธTiffany๐ŸŒธTania Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  37. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅTODAYโ€™s ROSTER INCLUDES: Rose๐ŸŒน - A sexy new addition to our lin
  38. Moneylee:
    All season wellness center :Young girl big boobs beautiful face deep massage Doris ,New Young girl big boobs beautiful face deep massage Baby ,Young girl big breasted beautiful buttocks charming temperament big boobs Yoyo ,Young girl Big breasted saucy naughty Ella ,Enchanting sexy petite deep massage Sherry , address: #5-30 Rambler dr Brampton ,Ontario L6W 1E2โ˜Ž๏ธ4376655510๐Ÿฆต๐Ÿฆต๐Ÿ‘„๐Ÿ‘„๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  39. Moneylee:
    Full season wellness center: New Young girl Big-breasted big Big boobs big butts May, Young girl big breasted beautiful buttocks charming temperament big boobs Vita ,Young girl big boobs beautiful face deep massage Bobo, Young beautiful face sexy body and good deep massage maggie,Enchanting sexy petite deep massage Mary. 2560 Shepard ave Mississauga unit 1 .โ˜Ž๏ธ4379857899 ๐Ÿ‘„๐Ÿ‘„๐Ÿฆต๐Ÿฆต๐Ÿˆต๏ธ๐Ÿˆต๏ธ๐Ÿ‘…๐Ÿ‘…
  40. Red Rose Spa:
    ๐ŸŒธ We have 5 hot brown girls today ๐ŸŒธ LUCY, ASHA, MALIYA, SANA, ANGELINA, MEERA, NISHA, AMANDA, MIMI, ANGEL ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  41. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Meet๐ŸŒธIvy๐ŸŒธBrandy๐ŸŒธKimCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  42. Lulu_Villa_Spa:
    Candy She is a Vietnamese๏ผŒ Face and body to die for. Her smile will make you melt. Sami Gorgeous Model Type CBC Vietnamese School Girl Judy is a gorgeous model type Vietnamese Girl โ˜Ž๏ธ647- 446-0886
  43. See You Health Center:
    Natalie she is CBC/filipina mixed Petite school girlโ€จGFE, BBbj, DFK in her menu. Judy is a gorgeous model type Vietnamese Girl Judy is a gorgeous model type Vietnamese Girl โ˜Ž๏ธ416-988-2950
  44. AliceSpa:
    MONDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 32 Sexy Young Girls Today at Alice Spa, : LALA,[/color 19Yrs young & beautiful petite, pretty, baby faced Japanese, 5โ€™2โ€ 90Lbs B Cup, bbbj, rim. Lala is energetic, fresh, beautiful & innocent, makes your heart beat. Beauty and youth can conquer everything. Highly recommended ๐Ÿ‘ SUKI, baby face student, nice all natural C Cups, short 5โ€™2โ€, sexy ass,
  45. bnwellness_wilson:
    We have 4 young beautiful girls are working today, young cute Yuki 30โ€™s open mind slime and young fun Selina with curves body 30โ€™s , pretty GFE Ella and sexy Coco are providing deep tissue and sensual massage, pls call 416-3985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  46. AmoreSpaEtobicoke:
    AMORE SPA 127 Westmore Drive, Unit 106C Etobicoke, ON M9V 3Y6 โ˜Ž 437-688-2407 โ˜Ž This is the official schedule for AMORE SPA: (Korean Ashley hasn't been here for AGES. The old confused imposter doesn't realize he has lost another customer, and continues to post errors and incorrect pics). Monday at AMORE SPA: CHERRY(10AM-11pm) & *New Spinner LALA CHERRY is a proven superstar, Slim Asian
  47. Mephistopheles:
    Where is milf mimi working, a little crazy lady.
  48. ASPA:
    ๐— ๐—ข๐—ก๐——๐—”๐—ฌ ๐—”๐—ง ๐€ ๐’๐๐€: EMMA and Best Massage RACHEL. ๐Ÿ…ฐ๏ธ๐€ ๐’๐๐€๐Ÿ…ฐ๏ธ, 28 South Unionville Ave, Unit 5, Markham. ๐Ÿ…ฐ๏ธ๐—–๐—ฎ๐—น๐—น ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿณ๐Ÿฎ๐Ÿต-๐Ÿฒ๐Ÿฒ๐Ÿฌ๐Ÿฒ ๐—ผ๐—ฟ ๐˜๐—ฒ๐˜…๐˜ ๐Ÿฒ๐Ÿฐ๐Ÿณ-๐Ÿด๐Ÿฏ๐Ÿต-๐Ÿฑ๐Ÿต๐Ÿฒ๐Ÿฒ๐Ÿ…ฐ๏ธ EMMA is 1.64Cm. and weighs 52Kg. Emma is sweet and elegant, has very good communication & massage, and her services will make your visit enjoyable. RACHEL is slim and attractive
  49. Endless Joy Spa:
    โœจโœจโœจโœจโœจ[GRAND OPENING]โœจโœจโœจโœจโœจ ๐Ÿ’žEndless Joy Spa๐Ÿ’ž ๐ŸŽ‡ (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565๐ŸŽ‡10am-2am, New First Day Young Slim Petite Chinese Vivi, Tall Slim Sexy Chinese Kelly, Sexy Chinese Coco, Young Sexy Chinese Abie, Young Sexy CBC Rachel.
  50. ForeverWarden:
    Monday at ๐Ÿซฆโค๏ธ๐Ÿ”ดโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ 2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Bella, Lisa & Ruby. Bella is around 5โ€™3โ€ with a thin to medium build, C Cups, and a pleasing personality. She can offer dfk, bbbj and cfs as well as a good massage experience. Lisa is a young, slim & very beautiful Vietnamese beauty with a nice body, nice boobs, nice massage, incredible services.
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