---
title: Floatation Therapy Emergency Contact & Health Screening Form Template | Paperform
description: Collect emergency contacts and screen for claustrophobia, hair dye, open wounds, Epsom salt allergies, and contraindications for float therapy sessions. Free customizable template for float spas and wellness centers.
url: "https://paperform.co/templates/floatation-therapy-emergency-contact-health-screening-form"
type: static
generatedAt: "2026-03-28T00:43:55.579Z"
---

[← Back to free form templates](/templates/)    ![Floatation Therapy Emergency Contact & Health Screening Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/floatation-therapy-emergency-contact-health-screening-form.png)
    [Preview](https://_preview.paperform.co/ai-template/floatation-therapy-emergency-contact-health-screening-form) [Use this template for free](/create?ai-template=floatation-therapy-emergency-contact-health-screening-form)    [Emergency & Crisis Forms](/templates/category/emergency-crisis/)[Healthcare & Medical Forms](/templates/category/healthcare/)[Personal & Lifestyle](/templates/category/personal/) [Fitness & Wellness](/templates/industry/fitness-wellness/)[Spa & Wellness Retreats](/templates/industry/spa-wellness/) [Small Business Owner](/templates/role/small-business-owner/)[Fitness Trainer](/templates/role/fitness-trainer/)[Massage Therapist](/templates/role/massage-therapist/)     About this free form template
### Floatation Therapy Emergency Contact & Health Screening Form

Float therapy centers need a thorough way to collect emergency contact information and screen clients for conditions that could affect their sensory deprivation experience. This **Floatation Therapy Emergency Contact & Health Screening Form** helps float spas, wellness centers, and sensory deprivation facilities ensure client safety while delivering transformative relaxation experiences.

#### Why Float Centers Need This Form

Before a client enters a float tank filled with 1,000+ pounds of Epsom salt, you need to know about medical conditions, skin sensitivities, and psychological factors that could impact their session. This form combines emergency contact collection with targeted health screening questions specific to floatation therapy—from claustrophobia concerns to recent hair dye that could stain your tanks.

The form screens for critical contraindications like open wounds (which can be extremely painful in high-salt environments), Epsom salt allergies, recent cosmetic treatments, and psychological conditions that may be affected by sensory deprivation. It also establishes clear emergency contacts in case a client needs assistance during or after their float.

#### Built for Wellness & Float Therapy Operations

This template is designed for float therapy centers, sensory deprivation spas, wellness studios, and holistic health facilities offering floatation services. Whether you're a boutique float spa or a larger wellness center with multiple tanks, this form ensures you have the information needed to provide safe, comfortable experiences.

The conditional logic allows you to ask follow-up questions only when relevant—if someone indicates claustrophobia, you can offer guidance or alternative options. If they've recently dyed their hair, you can advise them to reschedule to protect both the client and your equipment.

#### Streamline with Paperform's Features

Built on Paperform, this template offers beautiful, on-brand design that feels more like a wellness experience than a clinical form. The doc-style editor lets you customize questions, add your studio's imagery, and match your brand aesthetic perfectly.

Use **Papersign** to collect liability waivers or consent forms after submission, creating a complete digital onboarding flow. Connect the form to **Stepper** to automatically send pre-float instructions, add clients to your CRM, or trigger reminder emails about what to bring to their appointment.

With Paperform's native integrations, you can sync emergency contact information directly to your booking system, wellness management software, or Google Sheets for easy staff access. The form works seamlessly on mobile devices, so clients can complete screening on their phones before arriving at your studio.

This template gives float therapy businesses the professional, compliant intake process they need while maintaining the calm, welcoming experience their clients expect.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Oxygen Bar Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/oxygen-bar-emergency-contact-form.png)

### Oxygen Bar Emergency Contact Form

A comprehensive emergency contact and health disclosure form for oxygen bar patrons, capturing respiratory conditions, oxygen therapy history, and emergency protocols.](/templates/oxygen-bar-emergency-contact-form/)
[![Infrared Sauna Emergency Contact & Health Screening Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/infrared-sauna-emergency-contact-health-screening-form.png)

### Infrared Sauna Emergency Contact & Health Screening Form

A comprehensive health screening and emergency contact form for infrared sauna facilities to assess heat sensitivity, cardiovascular conditions, medication interactions, and establish safe session protocols.](/templates/infrared-sauna-emergency-contact-health-screening-form/)
[![Massage Therapy Appointment Booking Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/massage-therapy-appointment-booking-form.png)

### Massage Therapy Appointment Booking Form

A professional massage therapy appointment form that collects client preferences, health screening information, and booking details to ensure a safe and personalized treatment experience.](/templates/massage-therapy-appointment-booking-form/)
[![Postpartum Fitness Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/postpartum-fitness-emergency-contact-form.png)

### Postpartum Fitness Emergency Contact Form

A comprehensive emergency contact and health assessment form for postpartum fitness classes, capturing delivery details, healing status, core reconnection progress, and childcare arrangements.](/templates/postpartum-fitness-emergency-contact-form/)
[![Sensory Deprivation Tank Facility Opening Planning Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/sensory-deprivation-tank-facility-opening-planning-form.png)

### Sensory Deprivation Tank Facility Opening Planning Form

A comprehensive planning form for wellness businesses and float therapy centers launching sensory deprivation tank facilities. Capture facility details, session protocols, membership packages, and wellness program integration.](/templates/sensory-deprivation-tank-facility-opening-planning-form/)
[![Sound Healing Session Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/sound-healing-session-emergency-contact-form.png)

### Sound Healing Session Emergency Contact Form

A comprehensive emergency contact and health screening form for sound healing practitioners to collect participant medical history, hearing sensitivities, and contraindication disclosures before crystal bowl therapy sessions.](/templates/sound-healing-session-emergency-contact-form/)
[![Ayurvedic Treatment Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/ayurvedic-treatment-emergency-contact-form.png)

### Ayurvedic Treatment Emergency Contact Form

Comprehensive emergency contact and health information form for Ayurvedic treatment centers, including dosha assessment, Panchakarma eligibility screening, herbal medicine interactions, and detox protocol consent.](/templates/ayurvedic-treatment-emergency-contact-form/)
[![Kettlebell Training Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/kettlebell-training-emergency-contact-form.png)

### Kettlebell Training Emergency Contact Form

A comprehensive emergency contact form designed for kettlebell training facilities to collect participant health information, experience levels, grip strength, lower back history, and swing technique certification alongside emergency contact details.](/templates/kettlebell-training-emergency-contact-form/)
[![Multiple Sclerosis Fitness Program Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/multiple-sclerosis-fitness-program-emergency-contact-form.png)

### Multiple Sclerosis Fitness Program Emergency Contact Form

A specialized emergency contact and health information form for fitness programs serving individuals with multiple sclerosis, capturing critical details about relapse history, heat sensitivity, fatigue patterns, and medical clearance.](/templates/multiple-sclerosis-fitness-program-emergency-contact-form/)
[![Reiki Healing Practice Referral Program Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/reiki-healing-practice-referral-program-form.png)

### Reiki Healing Practice Referral Program Form

A referral form for Reiki healing practices to gather information about new clients, their energy healing experience, session goals, and preferences while rewarding both referrers and new clients with multi-session package discounts.](/templates/reiki-healing-practice-referral-program-form/)
[![Senior Fitness Class Emergency Contact Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/senior-fitness-class-emergency-contact-form.png)

### Senior Fitness Class Emergency Contact Form

A comprehensive emergency contact form for senior fitness programs that captures vital health information, fall risk factors, cardiac status, mobility limitations, and exercise modifications to ensure safe and personalized class participation.](/templates/senior-fitness-class-emergency-contact-form/)
[![Sensory Deprivation Float Spa First-Time Visitor Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/sensory-deprivation-float-spa-first-time-visitor-form.png)

### Sensory Deprivation Float Spa First-Time Visitor Form

A comprehensive first-time visitor intake form for float spas with claustrophobia screening, Epsom salt concentration disclosure, shower protocol instructions, and float tank hygiene practices.](/templates/sensory-deprivation-float-spa-first-time-visitor-form/)