Client Forms

Mahalo for supporting Kapolei Massage Institute.  We appreciate your trust in us.

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

KMI Office Policies

Body Map for Clients

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

Physician/Healthcare Provider's Permission Form

Please email or fax Attn to:  Clinical Dept ph. 808-400-7375.

Physician/Healthcare Provider's Referral Form

Please email or fax Attn to:  Clinical Dept ph. 808-400-7375.