The Massage Form Template is a critical document used in Singapore's massage and wellness industry to ensure legal compliance and proper client care. It serves as both a client intake form and a legal protection mechanism, incorporating requirements from the Massage Establishments Act 2017 and Personal Data Protection Act. This document should be completed before any massage service is provided, capturing essential health information, consent, and liability acknowledgments while maintaining adherence to Singapore's strict regulatory framework for massage establishments.
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1. Client Information: Basic personal and contact details of the client including name, address, phone number, email, and emergency contact
2. Medical History: Comprehensive section for client's relevant medical conditions, medications, injuries, surgeries and contraindications
3. Consent Declaration: Client's informed consent for treatment, acknowledgment of risks, and permission to receive massage therapy
4. Treatment Preferences: Client's specific areas of concern, pressure preferences, and any areas to avoid during treatment
5. Liability Waiver: Standard liability limitations, disclaimers, and client acknowledgments of understanding
1. Pregnancy Declaration: Additional declaration for female clients regarding pregnancy status and term
2. Photo Consent: Optional permission for taking and storing before/after treatment photographs
3. Insurance Information: Details of client's health insurance for medical massage claims processing
1. Schedule A - Treatment Price List: Current service rates, packages, and duration options
2. Schedule B - Therapist Qualifications: Documentation of massage therapist credentials and certifications
3. Schedule C - Establishment Policies: Detailed policies regarding cancellations, refunds, late arrivals, and expected conduct
4. Schedule D - Body Chart: Anatomical diagram for marking areas of concern and treatment zones
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