FormsPrior to your first appointment, please read and complete the following New Patient Forms. You may fax the completed Patient Registration and Medical History forms back to our office at: Fax# (808) 447-7456, or bring completed forms to your appointment.
As a new patient, please check-in at least 15 min prior to your appointment, and bring the following: (1) completed new patient forms, (2) government issued picture ID, and (3) insurance card(s).
The form below applies only to patients under the age of 18, who are not able to be accompanied by a parent/ legal guardian to their appointment. The”Authorization to Treat Minor” form will need to be filled out prior to patient’s appointment:
We accept most major insurance plans, including…HMSA, Medicare, HMA, HMAA, UHA, Tricare, AETNA, United Healthcare, Humana, CIGNA, and Kaiser Added Choice.
Clients are responsible for payment of fees not covered by insurance. We accept cash, personal checks, Visa, Mastercard, and American Express.