Kokoro Massage -- Client Forms
Welcome to Kokoro Massage

Health Intake Form
Informed Consent Form
Policies & Procedures

Before your first appointment at Kokoro Massage, there is important paperwork that needs to be completed. New clients are required to fill out a health intake form that details their health history and current conditions. New clients must also read and understand Kokoro Massage's policies and procedures so that they can sign an informed consent form. These records will be kept securely on file and client confidentiality always ensured as mandated by HIPPA.

You can complete this paperwork during your first session, or you can expedite the intake process by downloading and filling out these forms prior to your first appointment. Either way, I recommend you arrive to your first appointment about 15 minutes early so as to get the most out of both the intake process and the treatment session.
*Introductory Special*
New clients receive half off their first treatment.

By appointment only, please contact.






1140 10th Street, Suite #214
Bellingham, Washington 98225
- Map & Directions -

Hours of Operation:

Tuesdays & Wednesdays

Thursdays, Fridays, & Saturdays

New clients can download, print, and fill out necessary forms prior to their first appointment here.

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Kokoro Massage website designed by Lindsey Frazier
2013. All Rights Reserved.

Photography Beatrice Harper and Lindsey Frazier