Patient Information
New Patients
To be filled out by all new patients and patients who have not been seen at the office for more than three years.
Regular Forms
obstetrics and gynecology in hawaii
Patient Forms
Please print, complete and bring the forms noted above to your next appointment. In addition, remember to bring your Photo ID, your insurance card, and your co-payment (if applicable). Insurance cards/picture IDs need to be brought to each annual appointment.To view the forms listed above, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.
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GYNECOLOGIST IN HAWAII
Billing & Insurance
We participate with most local and many national insurance plans. However, it is your responsibility to understand whether your insurance has limits on the doctors you can see or the services you can receive.We will submit claims to your insurance carrier and receive service payments. You may be responsible for co-payments, co-insurance, or other deductible amounts depending on your insurance..Please call your insurance carrier should you have questions.
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Insurance Accepted
We accept HMSA, Blue Cross Blue Shield, UHA, QUEST (HMSA, Alohacare, Ohana, United Healthcare), HMAA, HMA, PWSA, HMA, MEDICARE and all local Hawaii insurances, and national plans including United Healthcare, Cigna, Aetna and Humana. Please check with your insurance if you have an HMO plan as you may need a REFERRAL from your Primary Care Provider.
Tricare
TRICARE SELECT is accepted. TRICARE PRIME is accepted only for Gynecology visits. For Obstetrics, a REFERRAL is required.
obstetrics care
Useful Links
- March of Dimes
- Babycenter.com
- FDA Fish Safety in Pregnancy
- Hawaii Cord Blood Bank
- Hawaii Fish Safety in Pregnancy
- Hawaii Mothers Milk
- Edinburgh Postnatal Depression Screening Tool
- Hawaii State Department of Health COVID19
- CDC Pregnancy and COVID19
- State of Hawaii “Finding Help Guide”
