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Massage Client Consultation Form

Massage Client Consultation Form Template for Netherlands

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Key Requirements PROMPT example:

Massage Client Consultation Form

"I need a Massage Client Consultation Form for my small wellness center in Amsterdam, focusing on sports massage and rehabilitation, with extra emphasis on athletic injury history and performance goals, to be implemented by March 2025."

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Document background
The Massage Client Consultation Form is a crucial document required before providing massage therapy services in the Netherlands. It serves multiple purposes: gathering essential client health information, documenting informed consent, and ensuring compliance with Dutch healthcare regulations and EU privacy laws. This form should be completed prior to the first treatment session and updated periodically or when the client's health status changes significantly. It includes comprehensive sections covering medical history, current health conditions, treatment preferences, and necessary authorizations, while incorporating GDPR-compliant data protection measures. The document is designed to protect both the client's interests and the massage therapist's professional practice within the Dutch legal framework.
Suggested Sections

1. Client Personal Information: Basic contact details including name, address, phone, email, date of birth, and emergency contact information

2. Medical History: Comprehensive overview of client's health conditions, injuries, surgeries, medications, and ongoing treatments

3. Current Health Status: Present physical conditions, areas of concern, pain levels, and specific symptoms

4. Lifestyle Information: Relevant lifestyle factors such as occupation, physical activity, stress levels, and daily routines that may impact treatment

5. Treatment Preferences: Client's preferences regarding pressure, areas to focus on or avoid, and specific massage techniques

6. Informed Consent: Clear statement of understanding risks, benefits, and treatment procedures, including GDPR-compliant data processing consent

7. Liability Waiver: Legal disclaimer and acknowledgment of provided information's accuracy

8. Therapist Notes Section: Space for massage therapist to document observations and treatment plans

Optional Sections

1. Pregnancy Information: Additional section for pregnant clients, including due date, pregnancy-related conditions, and physician approval

2. Sports/Activity Specific: Detailed section for athletes or highly active individuals regarding sports activities and specific performance goals

3. Previous Massage Experience: Section documenting past massage experiences and preferences based on previous treatments

4. Photo/Video Consent: Optional authorization for taking before/after photos or videos for treatment documentation

5. Insurance Information: Section for clients seeking insurance reimbursement or using health insurance coverage

Suggested Schedules

1. Privacy Policy: Detailed GDPR-compliant privacy policy explaining how personal data is collected, stored, and processed

2. Treatment Price List: Current pricing for various massage services and treatment options

3. Contraindications List: Comprehensive list of conditions that may prevent or modify massage treatment

4. Body Chart: Anatomical diagram for marking areas of concern, pain, or specific treatment requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ ºÚÁÏÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions

























Clauses




















Relevant Industries

Healthcare

Wellness and Spa

Sports and Recreation

Physical Therapy

Alternative Medicine

Hospitality

Corporate Wellness

Relevant Teams

Medical Records

Client Services

Wellness Operations

Compliance and Legal

Healthcare Administration

Customer Relations

Quality Assurance

Risk Management

Relevant Roles

Massage Therapist

Physical Therapist

Wellness Director

Spa Manager

Healthcare Administrator

Compliance Officer

Medical Records Coordinator

Client Services Manager

Sports Massage Specialist

Rehabilitation Specialist

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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