Contact Us

- Kamuela Office -
65-1230 Mamalahoa Highway, C-10
Kamuela, HI 96743 - Map
Tel: 808.885.9000    Fax: 808.885.6228
- Kailua Trade Center -
75-5706 Hanama Place, Suite 208
Kailua-Kona, HI 96740 - Map
Tel: 808.323.3434    Fax: 808.322.2209
- Hilo Office -
280 Ponahawai Street Suite 101
Hilo, Hawaii 96720 - Map
Contact us at our Waimea office:
Tel: 808.885.9000    Fax: 808.885.6228
Online Forms

Technical Note: You'll NEED to download the free plug-in from Adobe's web site in order for this form to work properly.


PC Users

Our online registration forms use the Adobe Acrobat Reader 5 or greater plug-in to conveniently submit your health history and registration information from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 5 of the plug-in to successfully use our online registration forms.


Mac Users

You must open and submit the form in a Safari Browser and also have the latest Mac Operating System. It is important you also have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office correctly, please download the free plug-in from Adobe's web site.