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Massage Medical History Form
"I need a Massage Medical History Form for my new wellness center opening in Kuala Lumpur in March 2025, compliant with Malaysian healthcare regulations and suitable for both traditional Malaysian massage and modern therapeutic treatments."
1. Personal Information: Client's basic details including name, date of birth, contact information, emergency contact, and occupation
2. Medical History Overview: General health status, current medications, and allergies
3. Specific Medical Conditions: Checklist of various medical conditions, surgeries, and injuries that might affect treatment
4. Current Symptoms: Present health concerns and areas requiring attention
5. Pain Assessment: Pain location, intensity, and duration using a pain scale diagram
6. Lifestyle Factors: Exercise habits, stress levels, and daily activities that may impact treatment
7. Client Consent: Treatment authorization and acknowledgment of information provided
8. Data Protection Notice: Information about how personal data will be collected, used, and protected as per PDPA 2010
1. Pregnancy Information: Additional questions for pregnant clients - include when offering prenatal massage
2. Sports/Performance History: Detailed section for athletic clients seeking sports massage
3. Traditional Medicine History: Section for clients seeking traditional Malaysian massage techniques
4. Insurance Information: Include when the practice accepts insurance or medical claims
5. COVID-19 Screening: Additional health screening during pandemic periods
1. Body Map: Diagram for marking areas of pain, tension, or concern
2. Treatment Contraindications: List of conditions that may prevent certain types of massage
3. Privacy Policy: Detailed explanation of data handling and privacy practices
4. Service Menu: List of available massage treatments and their descriptions
5. Post-Treatment Care Guidelines: Instructions for client self-care after massage treatment
Authors
Healthcare
Wellness and Spa
Sports and Recreation
Rehabilitation Services
Alternative Medicine
Medical Tourism
Hospitality
Corporate Wellness
Operations
Medical Services
Wellness
Compliance and Legal
Customer Service
Quality Assurance
Health Records
Risk Management
Traditional Medicine
Front Desk
Massage Therapist
Physiotherapist
Healthcare Administrator
Wellness Director
Spa Manager
Medical Director
Compliance Officer
Traditional Medicine Practitioner
Sports Therapist
Rehabilitation Specialist
Client Services Manager
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