Massage intake form template for spas and massage therapists
Copy this intake form, replace the parts in brackets, and have every client fill it in before their first massage. Knowing the focus areas, pressure and health conditions before the session gives your therapist time to plan, and a signed form records what the client told you.
The form, ready to copy
[Business name] massage intake form
Client name: ____________ Phone: ____________ Date: ____________
What would you like to focus on? Neck and shoulders / Back / Legs and feet / Arms and hands / Full body
Preferred pressure: Light / Medium / Firm / Deep
Do any of these apply to you right now? Pregnancy / Recent surgery or injury / Blood clots or circulation problems / Heart condition or high blood pressure / Skin condition or open wound / None of these
Tell us more, including medications, allergies to oils or lotions, and any area you do not want touched: ________________________________
I will tell my therapist right away if I feel discomfort. I understand that massage does not diagnose or treat any condition and does not replace medical care. Initials: ____
Signature: ____________________
Add a line for anything your therapists always ask, such as an emergency contact or a preferred massage style. Rules on client records vary by state, so check what your state board asks you to keep.
How to use it
- Ask before a client's first massage and again once a year, or at every visit if a client's health changes often.
- Read the answers before the client is on the table: pregnancy, a recent surgery or a circulation problem can change the plan for the session.
- Keep the signed form with the client's record, so any therapist who sees them next knows what was said and when.
Have clients sign it online with Belcome
- In Settings, open Forms and tap Add from a template. Spas and massage studios see Massage intake, ready to use.
- Edit any question, add a field with Add field, and pick the type: Yes or no, One choice, Several choices, Initials or Signature.
- Under Services that ask for it, pick your massage services, and under Ask again choose Once a year or Every visit.
- Clients get a link in their booking confirmation to fill in and sign the form from their phone before the visit. Someone who walks in can sign it on your tablet with Sign forms at the front desk.
- The visit shows Forms pending or Forms signed, and the client's record keeps every signed form under Signed forms, with Open PDF for a copy.
More answers in the Belcome help
No-show and cancellation policy template for salons, barbershops and spas
Client consultation form template for hair salons and barbershops
Lash extension consent form template for lash artists
Booth rent vs commission: calculator for salons and barbershops