Patient Information

New Patient Forms

Please download the New Patient Form (PDF) below, fill it out and bring with you to your appointment.

New Patient Form

Insurance and Payments

We accept most medical insurance plans, including commercial, Medicare, and Medicaid.  Please see list of insurances accepted below:

  • Medicare Hawaii (via Noridian Healthcare)
  • HMSA (Hawaii Medical Service Association)/BCBS – HMO referral panel, HMO, PPO, Quest, and Medicare
  • HMA (via Multiplan)
  • UHA (University Health Alliance)
  • HMAA (via HMWG, Hawaii-Western Management Group, Inc)
  • UHC (United Health Care) commercial (via MDX), Quest, and AARP Medicare supplement
  • Aetna and Cigna (via MDX)
  • Humana Medicare Advantage (via MDX)
    ***if HMO, please obtain referral from your PCP and submit to MDX)
  • Alohacare Quest and Medicare Advantage
  • Kaiser
  • Tricare
    ***if Tricare Prime, please obtain a referral from your PCP
  • VA/Triwest
    ***please obtain referral from your VA PCP
  • MedQuest

We also accept cash, checks and major credit cards (Visa, Mastercard, Discover, and American Express).

Online Payments

For your convenience, you can use our secure payment portal to process your office payment online:

Pay Online