Patient Resources

 
 

Before You Visit : Download Your Patient Forms

NEW PATIENT REGISTRATION FORMS

CONSENT TO TREAT FORM

RELEASE OF INFORMATION FORM

NOTE: If a legal guardian is to accompany the patient, please notify our office prior to patient's appointment so that we can discuss what documentation is required at the time of the visit.

< Don’t have PDF Acrobat Reader? Get from here. >

NO SHOW CANCELLATION POLICY

If you need to cancel or reschedule your appointment, we require 24-48-hour notice to cancel or reschedule appointment.

INSURANCE

  • HMA
  • HMAA/HWMG
  • Blue Cross Blue Shield (Mainland PPO plans)
  • BCBS Federal Employees Plan (FEP)
  • KAISER ADDED CHOICE
  • TRICARE
  • University Health Alliance (UHA)
  • MEDICARE
  • HMSA (PPO, HMO, Medicare, and QUEST INTEGRATION plans)
  • ALOHACARE (Medicare and Quest Integration Plans)
  • OHANA (Medicare and Quest Integration plans)
  • United Healthcare (Medicare and Quest Integration plans)

Even if your plan is not listed above, in many cases we can assist you with filing the claim if you provide us with your plan information. If you do not see your insurance in the list, please call our office.

BILLING INFO

For any billing questions or payment, please call our billing office: CLICK TO CALL