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 PRACTICES
This notice describes how medical information about you may be used and disclosed. It also describes how you can get access to your medical information. Please review it carefully.
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
* 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