Invoice Template Massage Therapy PDF Details

Listed here, you can find some information regarding invoice template massage therapy PDF. This figure can provide specifics of the form's length, completion duration, and the blanks you may be needed to fill.

Form NameInvoice Template Massage Therapy
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesmassage invoice template word, massage therapy receipt, massage therapy invoice, massage therapy invoice samples

Form Preview Example



Intrinsic Touch Massage Therapy




Client Intake Form













First Name:


Last Name:













Phone Number (s)



















Street Address

























Zip Code











Birth date or Age:



Birth Month:













Email Address: (if you would like to be informed about specials)

How did you hear about me? e.g. Internet Search, Gift Certificate, Friend, Flier, Ad, other

If you heard about me from family or a friend, please put their name here:

Occupation (please also include your work duties e.g. sitting at a computer, lifting, telephone, etc.)

Massage Experience (how often / type)

Are there any areas you would like me to avoid (example: face, scalp, feet)

Are you or have you ever been treated for cancer? If so, please describe:

Injury History in the last 5 years(car accidents, broken bones, dislocations, falls, etc.)

Recent Surgeries? If so, when?

Do you have any of the following conditions? (please check the left box for all that apply)


Neck Pain


High Blood Pressure






Back Pain




Pregnant or Trying?




Skin Condition


Heart Condition
















Carpal Tunnel




Seizure Disorders




Compromised Immune System


Other not listed- please describe below









Please describe any areas of stiffness or pain, as best you can.

I have completed this client intake form to the best of my knowledge. I understand the massage services are designed to be a health aid and in no way substitute a physician’s care when indicated.

I understand massage therapists are not qualified to perform spinal adjustments, diagnose, prescribe, or treat any physical or mental illness. If I experience any pain or discomfort during the massage, I will immediately inform the therapist so that pressure/stroke many be adjusted to my

comfort. I agree to keep the therapist updated as to any changes in my medical profile and I understand there shall be no liability on the therapist’s part if I fail to do so.




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