Thank you for your interest in Wellness Partners Mental Health. We welcome the privilege of participating in your care and will do everything possible to make your experience with us a positive one. 

 

The following web form is provided to ensure a smooth transition into our practice. Please complete all the sections:

 

Service Program

Demographic Information

SMS Consent

Emergency Contact Information

Mental Concerns

Insurance and Identification

Pre-Screening Questions

Preferences

Voluntary Survey

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You should check ALL the boxes. If you do not meet any of the requirements and would like to discuss further, please text our office at 808.379.6656 or email our office at info@wellnesspartnershawaii.com.

 

Mahalo for for taking your time to complete this form!