Client Identification
Full legal name, DOB, contact details, and insurance or ID numbers to verify identity and match records.
A complete Massage Intake Form reduces clinical risk, documents informed consent, and supports billing and referral workflows. Accurate pre-treatment screening helps identify contraindications, protect patient safety, and create defensible records for professional and regulatory reviews.
Intake forms are completed by clients and reviewed by therapists, with administrative staff handling storage and billing.
Full legal name, DOB, contact details, and insurance or ID numbers to verify identity and match records.
Clear prompts for chronic conditions, surgeries, cardiovascular issues, pregnancy, recent injuries, and mobility limitations.
Areas to avoid, pressure preference, prior adverse reactions, and any accommodations requested by the client.
Informed consent language describing massage risks, limits of confidentiality, and client affirmation to proceed with treatment.
Optional or required HIPAA authorization for release of health information when sharing records or billing insurers.
Name, relationship, and phone number for use if urgent medical attention or notification is required.
| Field | Configuration |
|---|---|
| Authentication | Email link or SMS code |
| Attachments | Allow ID upload and insurance card photos |
| Conditional Fields | Show pregnancy questions if applicable |
| Storage Destination | EHR folder or secure cloud |
Choose a platform that supports secure storage, audit trails, and the file formats you need for clinical records.
Collect full intake and consent prior to treatment
Confirm or update medical history and contact details each year
Reassess following surgery, new diagnosis, or medication changes
Obtain guardian consent before any treatment
Provide signed records to client or authorized party
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | Varies | Varies |
| Envelope Cap | No cap | 100 envelopes/user/year | No cap | No cap | No cap |
The interface is simple and easy-to-use for our team; more importantly, it is just as easy for our customers.
airSlate SignNow team has been exceptional and responsive.