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Looking To Establish Care?


 A new patient packet is required



Click on the links below and print both the New Patient Packet and Account Registration Form

[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! 

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