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Become A Patient

Thank you for your interest in Wellness Partners Hawaii, Inc.  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 form/checklist is provided to ensure a smooth transition into our practice. 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!

Your information is of utmost importance to us. Your number will never be shared with any third party or used for marketing purposes. To opt-in SMS communication with Wellness Partners Hawaii for administrative assistance (scheduling/prescription refill request/billing etc.) please type
OPT IN below. To opt-out, please type OPT OUT.

Our providers are licensed in the state of Hawaii. In accordance to telehealth laws, we can only serve those who are physically in the state of Hawaii. 

Per insurance requirements, our providers will need to be able to see you via video. 

In-Network with WPH

AlohaCare QUEST

Blue Cross Blue Shield

HMSA PPO / HMO / Akamai / QUEST

HMAA (Hawaii Management Alliance Association)

HMA (Hawaii Mainland Administrators)
Medicare

Ohana QUEST

Tricare West Prime & Select

​UHA (University Health Alliance)

VA CCN (Veterans Affairs Community Care Network)

Out of Network with WPH

Aetna

Cigna

United HealthCare / Optum

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If you are active duty military, please contact your primary care manager to obtain a referral / authorization.

We are a benzodiazepine (Ativan, Xanax, Valium, etc.) free clinic and it is our office policy not to prescribe them.

Mahalo for submitting!
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