Client Forms

If you have selected a student massage, our students are graded on the completion of your forms.  To better serve you, please complete our Clinical Intake Form & Office Policies prior to your arrival.  This will eliminate delays and maximize your time on the massage table. 

Returning Clients are asked to sign our office policies annually as changes may occur.  

Clinical Intake Form (Required for all Clients)

2023 KMI Office Policies (for Student Massages)

2023 KMI Clinical Office Policies and Authorization & Consent To Treatment (for Clinical Massages)

Body Map for Clients

Identify and describe your pain or discomfort on a body map.

Physician/Healthcare Provider's Permission Form

Please fax completed form to ph. 808-400-7375.

Physician/Healthcare Provider's Referral Form

Please fax completed form  to ph. 808-400-7375.

Provider Request for Medical Information

Please fax completed form to ph. 808-400-7375.