Massage intake form template
A complete massage therapy intake form you can print or save as a PDF today. It covers what a therapist actually needs before the first session: contact details, health history, what to focus on and avoid, and the client's consent to treatment.
Massage intake form
Contact details
Full name
Phone
Date of birth
Address
Your visit
Type of massage
Have you had a professional massage before?
YesNoPreferred pressure
What would you like to get out of today's session?
Health history
Do any of these apply to you?
Please describe anything ticked above, and any areas to avoid
Areas you'd like the therapist to focus on
Consent
I understand that massage therapy is for relaxation and relief of muscle tension, and is not a substitute for medical examination or treatment. My therapist does not diagnose illness or prescribe medication.
I have answered the health questions accurately and will tell my therapist about any changes. I can ask for the pressure to change or the session to stop at any time.
Signature
Date
Sections
Choose “Save as PDF” in the print dialog to download. Nothing you type leaves your browser.
Use it on your website
Put the short version online. AI calls them back in 60 seconds.
Long forms on a phone get abandoned. With RingOwl, your website asks three questions. If the visitor ticks “call me back”, your AI calls within a minute, asks the rest of this form, books the appointment and saves a complete record, with their consent on file.
Test the callback in your browser during the trial. Phone callbacks need a paid plan (US, Canada, UK, Australia and India numbers).
On your website
- Full name
- Phone
- What would you like to book?
- “Call me back within a minute” box
Asked on the AI callback
- Type of massage
- First visit with us?
- Areas to focus on or avoid
- Injuries, conditions or pregnancy we should know about
- Preferred pressure
- Preferred day and time
How to get the most out of a massage intake form
- Ask before the first session, not during it
- Health history questions take a few minutes. Collecting them at booking means the session starts on time and the therapist can plan around anything that matters.
- Keep health questions general
- Ask whether something applies and what to avoid. You need enough to adjust the session safely, not a medical record.
- Update it every visit or two
- A one-line check at check-in (any changes since last time?) keeps the form current without making regulars fill it in again.
Massage intake form FAQ
What should a massage intake form include?+
Contact details, the type of massage and preferred pressure, a short health history (recent injuries, pregnancy, blood pressure, skin conditions, allergies to oils), areas to focus on or avoid, and a signed consent to treatment. This template has all of them.
Is a massage intake form required?+
Requirements depend on your state and your licensing board, so check your board's rules. Even where it isn't required, most therapists use one because it's the record that the client disclosed their health history and agreed to treatment.
Can I use this massage intake form for free?+
Yes. Print it, save it as a PDF from the print dialog, or copy the questions into your own form. There's no signup.
How often should clients fill out an intake form?+
Have new clients complete the full form, then ask returning clients at check-in whether anything has changed. Many therapists ask for a fresh form once a year.
The consent wording on this template is a starting point, not legal advice. Have it reviewed for your state, your licensing board and your insurer.
More free intake form templates