accessibility ACCESSIBILITY
Call: (808) 889-6277

Our registration and medical history forms are availabe for completion at home.  Just click on the link & print,  then bring the completed forms with you to your appointment.   A registration and medical history is needed for each family member.

Patient Registration

Medical History

To request dental records & xrays from your previous dentist print & complete the form below. Send it to your dentist before your visit.

Request Records