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Massage Therapy Consultation Form
"I need a Massage Therapy Consultation Form for my new wellness center in Kuala Lumpur that will open in March 2025, with a focus on sports massage and rehabilitation services, ensuring compliance with Malaysian healthcare regulations and including specific sections for athletic injury assessment."
1. Personal Information: Client's basic details including name, date of birth, contact information, occupation, and emergency contact details
2. Medical History: Comprehensive medical background including current medications, surgeries, chronic conditions, and allergies
3. Current Health Status: Present health concerns, areas of pain/discomfort, stress levels, and current symptoms
4. Lifestyle Information: Information about daily activities, exercise habits, and stress factors that may impact treatment
5. Treatment Preferences: Preferred pressure levels, areas to focus on, and specific massage techniques requested
6. Informed Consent: Client acknowledgment of risks, benefits, and agreement to treatment
7. Privacy Policy Statement: Statement on how personal data will be collected, used, and protected in compliance with PDPA 2010
1. Pregnancy Information: Additional section for pregnant clients including trimester, due date, and pregnancy-specific concerns
2. Sports/Exercise History: Detailed section for athletes or active individuals regarding their training routine and sports-specific issues
3. Previous Massage Experience: Section for recording past massage experiences and preferences
4. Photo Consent: Optional authorization for taking before/after photos for treatment tracking purposes
5. Insurance Information: Section for clients seeking insurance coverage or medical claims
1. Appendix A: Body Chart: Anatomical diagram for marking areas of pain, tension, or specific concern
2. Appendix B: Treatment Plan Template: Structured format for documenting proposed treatment approach and schedule
3. Appendix C: Pain Scale Reference: Standardized pain assessment scale for client reference
4. Appendix D: Contraindications List: Comprehensive list of conditions that may contraindicate massage therapy
Authors
Healthcare
Wellness and Spa
Sports and Recreation
Hospitality
Alternative Medicine
Medical Tourism
Rehabilitation Services
Operations
Clinical Services
Wellness
Compliance and Legal
Quality Assurance
Customer Service
Medical Records
Risk Management
Front Desk
Administration
Massage Therapist
Physical Therapist
Spa Manager
Healthcare Administrator
Wellness Coordinator
Clinical Director
Sports Massage Specialist
Rehabilitation Specialist
Traditional Medicine Practitioner
Quality Assurance Manager
Compliance Officer
Medical Records Manager
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