Massage Consent Form Template
Understand your client's health history and get their consent before the session begins.
Massage therapy involves physical contact and can affect health conditions that aren't always visible. A completed intake and consent form helps therapists provide safer, more effective treatment — and ensures clients understand what to expect.
The template covers the client's health history (relevant conditions, medications, recent injuries or surgeries), areas to avoid, pressure preferences, the reason for seeking massage, consent to treatment, and acknowledgment of any relevant contraindications. A signature field closes the form.
A well-designed consent form isn't a liability shield — it's a communication tool. When clients feel that a therapist has read their intake carefully, they arrive more relaxed and trust develops faster.
Recent surgeries or injuries, skin conditions, blood clots or clotting disorders, pregnancy, cancer or recent cancer treatment, cardiovascular conditions, osteoporosis, and any areas of pain or numbness. Therapists should also ask about medications that affect circulation or sensation.
An initial comprehensive form is completed at first visit. Follow-up appointments can use a shorter update form asking about any changes since the last session. For existing clients, a brief verbal or written check-in is sufficient.
Yes — and this is the best practice. Sending it in advance means clients complete it without time pressure, and the therapist can review before the session begins. This leads to better, more tailored sessions.
Some conditions are absolute contraindications (the session should not proceed). Others are relative contraindications where modifications allow safe treatment. Your training and scope of practice determine how you proceed.
Yes, for any professional massage. The depth of the intake questions may vary based on the modality — a relaxation massage has a lighter intake than medical or sports massage.
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