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The Massage Client History Form Template is a crucial document for massage therapy practices operating in Australia, designed to gather comprehensive client information while maintaining compliance with Australian privacy laws and healthcare regulations. This form should be used prior to initial treatment sessions to collect vital information about clients' health status, medical history, and treatment preferences. It includes sections for personal details, emergency contacts, medical conditions, and informed consent, serving as both a clinical tool and a legal record. The document helps practitioners deliver safe and effective treatments while protecting both the client's and practitioner's interests through proper documentation and disclosure. It's particularly important for maintaining professional standards in accordance with the National Code of Conduct for Health Care Workers and relevant state-specific health records legislation.

1. Personal Information: Client's basic details including full name, date of birth, address, phone number, email, and preferred contact method

2. Emergency Contact Information: Details of who to contact in case of emergency, including name, relationship, and contact numbers

3. Medical History: Current and past medical conditions, surgeries, injuries, and ongoing health concerns that might affect treatment

4. Current Health Status: Present symptoms, areas of pain/concern, current medications, and allergies

5. Lifestyle Information: Occupation, regular activities, exercise habits, and stress levels that may impact treatment

6. Treatment Preferences: Preferred pressure, areas to focus on or avoid, and specific goals for massage therapy

7. Client Consent: Acknowledgment of provided information accuracy, consent to treatment, and acceptance of cancellation policies

8. Practitioner Notes: Section for therapist to document observations, treatment plans, and session notes