Becoming a Patient

Schedule

Pre-Visit Form

Documents

First Visit

STEP 1

Schedule Your First Appointment

Contact our office to schedule your first appointment!

Call or Text: (808) 769-5010

STEP 2

Fill Out the Pre-Visit Form

Complete your new patient paperwork online or download to bring in.

Physical Form

Print, complete, and bring to your first appointment

Download PDF

Online Form

Submit directly, no need to print!
Fill Out Online

STEP 3

Bring the Necessary Documents

Have these ready on the day of your appointment.
  • All active medical insurance cards
  • Photo ID
  • Physical medications / pill bottles
  • Printed pre-appointment forms (if you chose not to fill out online)

STEP 4

Come to Your First Appointment

Please arrive 15 minutes early

Address: 64-1032 Mamalahoa Hwy Suite 306, Waimea, HI 96743

Located Across the street from HPM Hardware store. 

STEP 1:

Contact our office to schedule your first appointment!

Call or Text: (808) 769-5010

STEP 2:

Fill out the pre-visit form

Option 2: Physical Form

Print, complete, and bring to your first appointment

Download New Patient Form (PDF)

Option 1: Online Form

Submit directly, no need to print!

Fill Out Online Form

Option 1: Online Form

Submit directly, no need to print!

Fill Out Online Form

STEP 3:

Bring the necessary documents to your appointment

Checklist:

  • ALL active medical insurance cards
  • Photo ID
  • Physical medications / pill bottles
  • Printed pre-appointment forms (only if you chose not to fill online form)

STEP 4:

Come to your first appointment! Please arrive 15 minutes prior to your appointment

Address: 64-1032 Mamalahoa Hwy Suite 306, Waimea, HI 96743

Located Across the street from HPM Hardware store. 

New Patient Registration: 

 
  • If not already done, call our office to schedule your first appointment
  • Please bring the physical medications/pill bottles to the appointment. 
  • Please arrive at least 15 Minutes prior to your appointment.
  • Must bring all active medial insurance cards, and Photo ID.
  • Please complete form below, everyone is different, tell us about you!

Established patients can utilize “online video visits” aka Telemedicine using Onpatient.com