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Call or text 808-263-8822Pay My BillPatient Portal
Reis Pediatrics

Patient forms

Complete your forms online

Fill in and sign your forms online and send them securely to our office before your visit. It takes about 10 to 15 minutes. Please finish in one sitting, as your answers aren't saved if you leave or refresh the page.

Who are the forms for?

Need a paper copy? Call or text us at 808-263-8822.

If an emergency should arise, please call 911.

After hours, call our main number 808-263-8822 and press #2. The provider on-call will contact you shortly. This service is for our current patients.