Nancy J Campbell, LMT
Medical Massage Therapy

Helpful Forms, Info & Articles

I am not able to accept new American Specialty Health (ASH) clients at this time. My provider status will end 7/15/22.

Below are helpful forms with information that you can download for your convenience. If you don't own a printer, then please arrive a five to ten minutes early to fill out in the office. 

  Read Covid-19 Mitigation Plan
  fill out special covid intake
  fill out Health History form
  fill out Consent form

There are a few articles and a guided meditation at the bottom you may find useful or amusing - let me know what you think!


Covid-19 Mitigation Plan

PLEASE READ. This document covers all the protocols that will be implemented until further notice. A special covid intake will be filled out by everyone, even those who have visited prior to June 1, 2020. Mahalo!

Covid Intake Form

In order for me to run the safest practice I can, I am having people fill out this extra Covid19 Intake form to put in their file. Everyone must fill this out and sign in order to be seen after June 1, 2020.

Health History Intake

All sorts of questions to help us design the best treatment plan for you!

Consent Form (18yrs +)

Non-Insurance clients fill this form out. It goes over my policies and indicates that you give cosent to the session and for me to work with you as your massage therapist. Consent must be established before any session. A separate consent will be provided for minors.

Pain Scale from 1 to 10

Please use this chart to describe your pain and/or discomforts. This will help us with consistency in charting your progress.

Know Before You Go!

First time working with Nancy? Never had a massage before? This paper will answer lots of questions or help you form your own. Call if you have concerns!

Post Session Handout

You just had your first session and you may feel different than what you expected. This handout could shed some light. Feel free to call too if that seems more useful!

How I Got Here

First article published in Kailua Beach Neighbors, April 2018. Tells my story of how I got to Hawaii from North Carolina

Mom's Disease

Not just mom's but everyone has the habit of putting self-care on the back burner


Change is inevitable. Crunch through it!

Guided Standing Meditation - The Warrior Within

In a time where you feel out of touch, loss of power, and voice; a standing meditation can help you reconnect with nature, your breath and authentic self. This is my gift to you during this unstable time to help you reconnect. Mahalo for letting me be part of your wellness program.... from 6' or more! Some of the info used in this meditation is from The Four-Fold Way by Ageles Arrien, PhD

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