What should be the primary focus of the initial client consultation?

The primary focus of the initial client consultation should be gathering detailed medical history. This step is crucial as it helps the massage therapist understand the client's health conditions, any pre-existing medical issues, and potential contraindications that could affect the massage. By collecting this information, the therapist can tailor the session to meet the client's specific needs and ensure their safety and comfort during the treatment.

Detailed medical history allows the therapist to identify any areas where special care may be warranted, which is essential for providing effective and safe therapy. Understanding the client's physical state also aids in building rapport and trust, which is vital for a successful therapeutic relationship.

While determining payment methods, explaining licensing requirements, and reviewing past massage experiences hold value, they do not have the same immediate importance as understanding the client's health background, which directly impacts the effectiveness of the massage therapy provided.