Attention: Due to complications resulting from the pandemic, we only offer home-based therapy at this time. Many of the forms on our website are not currently in use. This is an archived webpage.

Please fill out your intake forms ahead of time. Call us to determine which forms to bring with you.

Print out your forms, fill them in, and bring them- along with your prescription or referral for massage to your appointment.

In addition to bringing your forms to your appointment, you can also scan and e-mail, fax, or take a legible photo of each page to send to me at:

  • email to
  • photo and text message to 808-285-3009
  • fax to 678-696-6671
  • postal mail to Sonia Beauchamp 66-216 Farrington Hwy. Suite 203 Waialua, HI 96791
* Do not email or text message any form that has your credit card number on it. 

Kaiser Permanente and HMSA:  Forms (2) for ASH Group health insurance massage reimbursement clients 

UHA members: All 4 forms need to be received in order for me to submit your treatment plan for approval. This process may take up to 15 days

Forms for No-fault Auto or Workers' Compensation

HMAA members: one form

Custom Massage Form for out of pocket clients

  • 🌴🌴🌴  Short Intake Form  🌴🌴🌴 (If you are paying out of pocket for a custom massage and have an uncomplicated medical history, you can fill out this abbreviated health form. )

Additional Assessment Forms