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Ready to receive the best Pediatric Care in Honolulu?

You can now fill out documentation online!

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Step 1: Please ​download, print, fill out, and sign the following forms:

Patient Registration Form.doc
File Size:	42 kb
File Type:	doc

Download File

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Patient Questionnaire Form
File Size:	1138 kb
File Type:	pdf

Download File

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Step 2: Please download, print, and sign the following release form:

Patient Release Form.pdf
File Size:	1176 kb
File Type:	pdf

Download File

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Need Further Assistance?

Please give us a call at (808) 735-5541 or email us at [email protected] 

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Our Pediatricians look forward to meeting your Ohana!