Paper that works the day you print it
Print the free client intake preview below. SOAP, screening, consent forms, and additional paperwork guides are planned and are not available yet. Digital integration is also planned.
FREE · NO ACCOUNT REQUIREDNOT LEGAL OR BILLING-COMPLIANCE ADVICEBLOSSOM PRO INTEGRATION · PLANNED
DRAWER I · THE FORMS & GUIDES
Client intake formContact, reason for visit, health-history screening, consent.FORM · PRINTABLE PREVIEWBP · PLANNEDPreview below ↓INT-001SOAP note templateSubjective, objective, assessment, plan — sized for real session notes.FORM · PLANNEDBP · PLANNEDNot available yetSOAP-002Contraindication screeningRed-flag checklist keyed to the pathology caution categories.FORM · PLANNEDBP · PLANNEDNot available yetCI-003Consent & treatment agreementPlain-language consent with scope and boundaries language.FORM · PLANNEDBP · PLANNEDNot available yetCON-004CMS-1500 field guideThe claim form still called “HCFA” — every box, in plain language.GUIDE · PLANNEDNot available yet1500-005Insurance billing basicsWhen massage is billable, superbills, and what payers actually ask.GUIDE · PLANNEDNot available yetBILL-006Documentation examplesAnnotated real-world SOAP notes — strong, weak, and why.GUIDE · PLANNEDNot available yetDOC-007Paper → digital workflowA planned guide to organizing paper records for future digital workflows.GUIDE · PLANNEDBP · PLANNEDNot available yetFLOW-008
DRAWER II · FEATURED — CLIENT INTAKE FORM, FIELD BY FIELD
Client Intake FormMD-FORM·INT-001
1 · CONTACT
Full nameDate of birthPhoneEmergency contact
2 · REASON FOR VISIT
3 · HEALTH HISTORY · SCREENING FIELDS
Cardiovascular conditionRecent surgery / injuryPregnancySkin conditionsBlood thinnersDiabetesCancer historyContagious illness
4 · MEDICATIONS & ALLERGIES
5 · CONSENT
SignatureDate
FREE · V1.2 · JULY 2026
FIELD-BY-FIELD GUIDE · WHY EACH FIELD EARNS ITS INK
01Reason for visitAnchors the session plan and gives your SOAP note its subjective baseline.BP·VISIT_REASON
02Health-history flagsA checked box prompts follow-up questions and assessment. The separate contraindication screening form is planned and is not available yet.A flag means “assess and document,” not “diagnose.” Referral language belongs here, diagnosis does not.BP·HX_FLAGS[]
03Medications & allergiesBlood thinners, pain medication, and topical allergies change pressure, depth, and product choices.BP·MEDS_ALLERGY
04Pressure & preference — optional additionDocumented preference protects both comfort and consent — it is part of the record, not small talk.A separate pressure-preference field is not included in the printable preview.BP·PREFS
05Consent signatureScope-limited consent language, signed and dated — the one field every dispute comes back to.Consent wording varies by jurisdiction. Have yours reviewed; this template is a starting point.BP·CONSENT_SIG
HONEY TAGS SHOW PROPOSED BLOSSOM PRO FIELD LABELS. THE INTAKE PREVIEW PRINTS WITHOUT THEM. DIGITAL IMPORT IS NOT AVAILABLE.
DRAWER III · PAPER TODAY → DIGITAL LATER
PLANNED INTEGRATION · BLOSSOM PROTODAY · PAPERPrint the intake previewThe intake preview below is printable without an account. The other forms and guides are planned and are not available yet.
UNDERNEATH · STRUCTUREProposed field structureThe field labels illustrate a proposed structure for future tools. They do not establish compatibility with an available digital product.
LATER · BLOSSOM PROPlanned digital workflowsBlossom Pro integration is planned. Import, scanning, and transfer of paper records are not available or verified here.
NOT LEGAL ADVICE — HAVE CONSENT FORMS REVIEWED FOR YOUR JURISDICTIONNO REIMBURSEMENT GUARANTEES — PAYER RULES VARYSCOPE · DOCUMENTATION SUPPORT, NOT DIAGNOSIS