Hawaii Pacific Neuroscience
  • Who We Are
    • Foundation
  • Our Team
    • Specialists
    • Staff
  • Services
    • Clinical Research
    • Comprehensive Epilepsy
    • Nationally Certified Video-EEG Epilepsy Monitoring Unit (EMU)
    • Headache and Facial Pain
    • Spine and Pain Management Center
    • Memory Disorders
    • MS and Neuroimmunology
    • Neurodiagnostic Institute of Technology
    • Parkinson’s and Movement Disorders
    • Stroke and Neurologic Restoration
    • Neuromuscular Rehabilitation Center
    • Sleep and Insomnia Center
    • Concussion and TBI Center
    • Brain Health Lifestyle Medicine and Wellness Center
    • Commercial Driver’s License (CDL) Service
  • Patients
    • Patient Portal
      • FAQ
    • Patient Experience
    • Patient Forms
      • EMG
        • EMG Instructions
        • EMG Consent Form
      • Sleep
        • Review of Systems Form
        • New Patient Questionnaire
        • Drowsy Driving Contract
  • Providers
    • Referral Form
    • Recruitment
    • Grand Rounds
  • Research
    • Clinical Research Center
    • Clinical Trials
    • Brain Research, Innovation & Translation Labs
    • Research Faculty
    • Summer Internship Program
      • 2020 Internship
      • 2019 Cohort
    • Publications
  • Education
    • Neurological Education
      • Your Brain Matters
    • HPN Events
      • Lunch & Learn
    • Conferences

Patient Forms

New Patient Forms


Televisit Consent


Authorization To Release

HONOLULU

St. Francis Liliha
Sullivan Wing
2230 Liliha Street #104
Honolulu, Hawaii 96817

WINDWARD

Adventist Health Castle
Weinberg Building
642 Ulukahiki Street, #300
Kailua, Hawaii 96734

CONTACT

(808) 261-4476
Fax: (808) 263-4476 
info@hawaiineuroscience.com

SOCIAL MEDIA

HAWAII PACIFIC NEUROSCIENCE © 2017 • ALL RIGHTS RESERVED