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Massage Client Intake Form
I need a Massage Client Intake Form for my new wellness center opening in March 2025, which includes specific sections for sports injuries and must comply with UK GDPR requirements for medical data collection.
1. Personal Information: Basic client details including name, contact information, date of birth, and emergency contact details
2. Medical History: Current and past medical conditions, medications, allergies, surgeries, and ongoing health concerns
3. Consent Declaration: Client's acknowledgment and agreement to treatment, including risks and benefits
4. Privacy Notice: Information about how personal data will be collected, stored, and used in compliance with UK GDPR
1. Lifestyle Information: Details about occupation, exercise habits, stress levels, and daily activities that may impact treatment
2. Treatment Preferences: Client preferences regarding pressure, areas to focus on or avoid, and specific massage techniques
3. COVID-19 Screening: Additional health screening questions related to COVID-19 symptoms and exposure
1. Terms and Conditions: Detailed service terms, cancellation policy, payment information, and client responsibilities
2. Privacy Policy: Comprehensive information about data protection practices, storage, and client rights under UK GDPR
3. Treatment Record Template: Standard format for recording treatment sessions, client feedback, and progress notes
Authors
Treatment
Practitioner
Client
Personal Data
Medical Information
Consent
Contraindications
Treatment Plan
Session
Emergency Contact
Medical Condition
Services
Data Protection
Privacy Notice
Confidential Information
Terms and Conditions
Professional Standards
Treatment Records
Cancellation Policy
Medical History
Health Declarations
Consent
Privacy and Data Protection
Confidentiality
Treatment Authorization
Risk Acknowledgment
Emergency Contact Information
Liability Release
Payment Terms
Cancellation Policy
Health and Safety
Photography Consent
Treatment Records
Communication Preferences
Service Limitations
Client Rights
Practitioner Obligations
Complaints Procedure
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