Massage Therapy Forms
Detailed paperwork and documentation is essential in your massage practice! There are many forms you must have, and many others that just make life easier!
Below are some sample, generic forms. They have been pulled from various sources and unless noted as such, were not created by The Massage Store.
From Sohnen-Moe Associates, here are some very useful forms....
| wpd | doc | rtf | ||
|---|---|---|---|---|
Business Management |
||||
| Wheel of Life | ok | ok | ok | n/a |
| High Priority Activities | ok | ok | ok | ok |
| Daily Plan | ok | ok | ok | ok |
| Time Tracking Sheet | ok | ok | ok | ok |
| Strategic Planning | ok | ok | ok | ok |
| Contact/Referral Records | ok | ok | ok | ok |
| Business Mileage Sheet | ok | n/a | n/a | n/a |
| Employment Agreement | ok | ok | ok | ok |
| Independent Contractor Agreement | ok | ok | ok | ok |
| Procedure Manual Checklist | ok | n/a | n/a | n/a |
| Business Plan Checklist | ok | n/a | n/a | n/a |
| Acupuncture - Informed Consent | ok | ok | ok | ok |
| Acupuncture - Records Checklist | ok | ok | ok | ok |
| Attorney Lien 1 | ok | ok | ok | ok |
| Attorney Lien 2 | ok | ok | ok | ok |
| Chart Form, SOAP | ok | n/a | n/a | n/a |
| Chart Form, CARE | ok | n/a | n/a | n/a |
| Client Discharge Letter | ok | ok | ok | ok |
| Client Health Information Sheet | ok | ok | ok | ok |
| Client, Inactive Survey | ok | ok | ok | ok |
| Client Intake Form | ok | ok | ok | ok |
| Client Intake Form, Estheticians | ok | ok | ok | ok |
| Client Intake Form, Seated Massage | ok | ok | ok | ok |
| Client (New) Checklist | ok | ok | ok | ok |
| Client Interview Checklist | ok | ok | ok | ok |
| Client Health History | ok | ok | ok | ok |
| Client Session Notes | ok | ok | ok | ok |
| Client Session Notes (Estheticians) | ok | ok | ok | ok |
| Client Status Report | ok | ok | n/a | n/a |
| Client Treatment Plan | ok | ok | ok | ok |
| Financial Agreement | ok | ok | ok | ok |
| Informed Consent for a Minor | ok | ok | ok | ok |
| Insurance Pre-Approval Form | ok | ok | ok | ok |
| Massage Therapy Informed Consent | ok | ok | ok | ok |
| Medical Records Release Form | ok | ok | ok | ok |
| Withdrawal from Case | ok | ok | ok | ok |
Financial Management
|
||||
| Balance Sheet | ok | n/a | n/a | n/a |
| Opening Balance Sheet | ok | ok | ok | ok |
| Bank Reconciliation Form | ok | ok | ok | ok |
| Business Income and Expense Forecast | ok | ok | ok | ok |
| Business Expenses Summary Sheet | ok | ok | ok | ok |
| Cash Flow Forecast | ok | ok | ok | ok |
| Gift Certificate Register | ok | n/a | n/a | n/a |
| Monthly Business Expense Worksheet | ok | ok | ok | ok |
| Monthly Disbursement Ledger Sheet | ok | ok | ok | ok |
| Monthly Personal Budget Worksheet | ok | ok | ok | ok |
| Profit and Loss Statement | ok | ok | ok | ok |
| Start-Up Costs Worksheet | ok | ok | ok | ok |
| Weekly Income Ledger Sheet | ok | ok | ok | ok |
| Marketing | ||||
| Target Market Analysis | ok | ok | ok | ok |
| Building An Effective Network | ok | ok | ok | ok |
|
HIPAA |
||||
| Client Consent for Treatment, Payment, and Health Care | ok | ok | ok | ok |
| Release of Information Authorization | ok | ok | ok | ok |
| Privacy Policies | ok | ok | ok | ok |
| Facsimile (FAX) with Confidentiality Notice | ok | ok | ok | ok |
| Electronic Messaging (e-mail) Confidentiality Notice | ok | ok | ok | ok |
| hipaa Business Associate Addendum | ok | ok | ok | ok |
| CMS 1500 (formerly HCFA1500) | ok | n/a | n/a | n/a |
| CMS 1500 Instructions | ok | n/a | n/a | n/a |
| Six Steps To Resolve Ethical Dilemmas | ok | ok | ok | ok |
| wpd |
doc |
rtf |
||
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