Napilialoha, LLC.,
233 Kaalawai Place, Honolulu, HI 96816      
p: 808-734-2348   e: tomoko@napilialoha.com


BODYWORK REGISTRATION FORM
(please fill out the entire form.  N/A if not applicable)

Permission To Perform Bodywork


I give Napilialoha, LLC permission to perform bodywork on this dog. I understand massage or other modalities are never a replacement for proper veterinary care. I understand that the canine body worker will not diagnose conditions, attempt any adjustment/musculoskeletal manipulations or prescribe medications, nutraceuticals, or supplements for my canine. If a veterinarian is currently seeing this canine, I have cleared this work with the attending veterinarian to ensure bodywork is at this time appropriate for the canine. I affirm that I have given all relevant information and will update you when new information is acquired.