Massage Client Intake Form Template for Saudi Arabia

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Key Requirements PROMPT example:

Massage Client Intake Form

"I need a bilingual (Arabic-English) Massage Client Intake Form for my new luxury spa opening in Riyadh in March 2025, compliant with Saudi regulations and suitable for both local clients and international tourists."

Document background
The Massage Client Intake Form serves as a crucial document for massage therapy providers operating in Saudi Arabia's regulated healthcare environment. This form is essential for collecting comprehensive client information before any massage therapy services are provided, ensuring compliance with Saudi healthcare regulations and cultural norms. It includes sections for personal information, medical history, contraindications, and informed consent, while incorporating specific considerations for gender segregation and religious observances common in Saudi Arabia. The document must be maintained in both Arabic and English versions to meet local requirements and ensure clear communication with all clients. This intake form is designed to protect both the service provider and client while facilitating appropriate treatment planning and risk management.
Suggested Sections

1. Personal Information: Basic client details including name, contact information, emergency contact, and preferred gender of therapist

2. Medical History: Comprehensive health background including current conditions, medications, surgeries, and chronic issues

3. Current Health Status: Present symptoms, areas of concern, pain levels, and specific areas requiring attention

4. Contraindications: Specific conditions that might prevent or modify massage treatment

5. Service Preferences: Preferred pressure, areas to avoid, and specific massage techniques requested

6. Consent for Treatment: Client's agreement to receive massage therapy and acknowledgment of risks

7. Privacy Policy: Information about how personal data will be collected, stored, and protected in compliance with Saudi PDPL

8. Payment and Cancellation Policy: Terms regarding payment, cancellation notices, and associated fees

Optional Sections

1. Pregnancy Information: Additional section for pregnant clients, including trimester, medical clearance, and specific pregnancy-related concerns

2. Sports/Exercise History: For clients seeking sports massage or treatment related to physical activities

3. Previous Massage Experience: Client's history with massage therapy and any previous positive or negative experiences

4. Cultural/Religious Preferences: Space to note any cultural or religious considerations that may affect treatment

5. Photo Consent: Optional authorization for taking photos for treatment documentation purposes

6. Insurance Information: For clients seeking to claim massage therapy through medical insurance

Suggested Schedules

1. Medical Conditions Checklist: Detailed checklist of common medical conditions for client reference

2. Body Map: Diagram for clients to mark areas of pain, tension, or areas to avoid

3. Informed Consent Details: Detailed explanation of risks, benefits, and treatment protocols

4. Privacy Policy Full Text: Complete privacy policy and data protection procedures in compliance with Saudi law

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
Relevant Industries

Healthcare Services

Wellness and Spa

Sports Medicine

Physical Therapy

Hospitality

Medical Tourism

Alternative Medicine

Rehabilitation Services

Relevant Teams

Legal

Compliance

Healthcare Operations

Patient Services

Risk Management

Quality Assurance

Clinical Administration

Front Desk Operations

Medical Records

Customer Experience

Relevant Roles

Massage Therapist

Spa Manager

Healthcare Facility Administrator

Compliance Officer

Medical Director

Wellness Coordinator

Physical Therapist

Sports Medicine Specialist

Risk Management Officer

Quality Assurance Manager

Patient Services Coordinator

Clinical Operations Manager

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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