Massage Health History Template

Medical History Intake Form

INSTANT DIGITAL DOWNLOAD

People looking for "extras" do not want to document their blood clot history, list their implanted devices, disclose their anticoagulants, and initial a consent form that explicitly states the session is non-sexual in nature. They just don't. A thorough clinical intake form is the least glamorous boundary tool you own — and one of the most effective.

This three-page form covers everything: critical screening flags, comprehensive medical history across nine body systems, allergies and product sensitivities, medications and supplements, MVA history, surgical hardware, informed consent, and minor treatment authorization. It looks like what it is — a document from a healthcare professional.

Because that's what you are.

What you get:

One fillable PDF — type your business name, credentials, and license number right into the form fields, then print it or send it to clients to complete. Make it yours in under ten minutes.

Generic by design. Bulletproof by intention. Built to work in any state, any setting, any specialty.

None of my products are submitted for CE approval — meaning no hours for your renewal, but also no ethics course you've taken six times and could probably teach yourself by now. What you're getting is real training, real content, and zero padding. Your license renewal will survive without it. Just solid, practical information worth your time and your investment.

Created by Julie Barton, MS, LMBT #6489, ATC-Ret. | Dynamic Bodywork LLC