​     A NEW PATIENT PACKET IS REQUIRED

​Click on the links below and print both items:

​[click here] "New Patient Packet"[click here] "Account Registration Form" ​

Completed forms can be dropped off at the clinic, faxed back to us at
(808) 828-1666 or mail your documents to: ​
North Shore Medical Center
2490 Oka Street
Kilauea, HI 96754

If you need to request medical records from your previous provider or from our providers, please click here to print your "RELEASE OF INFORMATION" form and return in the same manner. Mahalo!