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New clients scheduled in 2 weeks on average. Call 808-777-9460 for more information. New clients please begin here.
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  • Home
  • Providers
  • Services
    • Care of Keiki/Children & Adolescents
    • Care of Makua/Adults
    • Care of Kupuna/Elder Adults
    • Crisis Care
    • Telehealth Platform
  • Insurance
  • Forms
  • Appointments
  • FAQ
  • Contact Us
  • New Clients Begin Here

Forms

Forms

Formsohanapsychadmin2025-05-06T22:33:43+00:00

All Patient Forms are Linked Below

Forms automatically come to the office after you click submit.

Sending this information is HIPAA compliant and secure.

Change in Personal Information Form

Controlled Substance Agreement

Controlled Substance Taper Agreement

Crisis Form for New Patient

Emotional Support Animal Letter Form

HIPAA and Consent for Service Form

Insurance Card and ID Photo Form

Message to OhanaPsych

New Patient Form

Psychiatric Consult with Primary Care

Refill Request Form (a visit may be required first)

Release of Information Form

Request for Provider to Complete Forms

OhanaPsych, LLC
Phone: 808-777-9460
Fax: 808-217-9174 or 706-268-1654
Text: 706-535-7372

Office Hours: Monday-Friday, 7am-5pm

For emergencies, please call 911 or go to your nearest emergency room.

If you are in a mental health crisis, call the Hawaii Crisis Line:

808-832-3100 (Oahu residents)

800-753-6879 (Outer islands residents)

© 2025 | OhanaPsych | All Rights Reserved | Website Design by Allison Walton Marketing & Design, LLC

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