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