(808) 469-4982

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(808) 469-4982

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Close this search box.

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.

CONNECT WITH OUR DOCTORS

808-469-4982

(808) 469-4982

Tomorrow's Healthcare Today