COMMON FORMS FOR PATIENTS
ALONG WITH FREQUENTLY USED LINKS/DOCUMENTS
Telemedicine Consultation Consent Forms
Telemedicine is strongly recommended in the midst of the Coronavirus (COVID-19) outbreak as it helps limit potential exposure to those who may be sick.
Terms AND CONDITIONS of Service
Consent For Treatment, Disclosure of Information, and Information to Other Providers
Access Medical record forms
Forms needed to request your medical records, have medical records sent to another provider, and other similar services
Notice of Privacy and Practice
Forms needed to request your medical records, have medical records sent to another provider, and other similar services
Pay Your statement online
To pay online, you will need your account number (found on your statement), credit number, and the amount you wish to pay. Please allow two (2) business days for your account to reflect payment.
Patient Forms
(By Clinic Name)
* Patients: Tap or click the “+” symbol to access patient forms for your clinic.
CONNECT WITH THE TOP DOCTORS IN HAWAII
CONNECT WITH THE TOP DOCTORS IN HAWAII
808-469-4982
