Before a massage therapy session, patients complete a Confidential Patient Case History Form. This 2-page intake document gives the therapist a full view of the patient's health. It is one of the first steps in building a safe and effective treatment plan.
The form collects key personal details, including name, address, and contact information. It also asks about medical history. Patients check boxes for conditions like cardiovascular disease, respiratory problems, and digestive issues. Family medical history is recorded as well. The therapist learns about past surgeries, current medications, and lifestyle habits.
This information helps therapists customize each session. If a patient has a recent injury or a blood-pressure condition, the therapist adjusts pressure and techniques accordingly. The form also notes the non-diagnostic role of massage therapy. Both patient and therapist sign to confirm mutual understanding of the scope of treatment.
Filling out the form accurately improves care outcomes. More complete information leads to better and safer therapy sessions.
| Question | Answer |
|---|---|
| Form Name | Confidential Patient Case History Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | Prov, CVA, case history format pdf, RMT |