We have partnered with Aulike Health Partners LLC to provide mental and behavioral health services to our patients in Reis Pediarics. The goal of this partnership is to provide you with resources to help you gain insight into the problems that impact your daily living, so you can better cope with them and function at the highest level.
Prior to your appointment, we ask that you complete the following forms. You may complete them through our secure online link or download the PDF and text to 808-263-8822, fax to 808-261-6749 or email to [email protected].
Patient Forms:
If you are the parent or guardian of patient who is less than 18 years old complete the
following:
Before signing the Patient Agreement Form, please review our Notice of Privacy Practices below:
If you are 18 years or older please complete the following yourself: