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BECOME A PATIENT
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:
SMS Consent
Service Program
Demographic Information
Emergency Contact Information
Mental Concerns
Insurance and Identification
Pre-Screening Questions
Preferences
Voluntary Survey
If you have any questions at any time, please contact our office at 808.379.6656 or email our office at info@wellnesspartnershawaii.com.
Mahalo for for taking your time to complete this form!
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