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

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

Forms for No-fault Auto or Workers' Compensation

Custom Massage Form for out of pocket clients and HMAA members

  • 🌴🌴🌴  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