New Patient Registration

Are you new to Windward Digestive Health Center?  If so, welcome!  You can help streamline the registration process by downloading and completing these forms.  The first form is the demographics and medical questionnaire, the second is the confirmation of receipt of our HIPAA document, and the third is the Notice of Privacy Practices (HIPAA document). Please bring the first two completed forms to your appointment or fax them to us at (808) 440-6777.  The third form is for you to keep for your records.

FORMS:​​

 

Which procedure are you having?

Flexible Sigmoidoscopy