24 KIOPAA ST. STE 102 PUKALANI, HI 96768
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    • Frames
    • Lenses
    • Contact Lenses
    • Products
    • Specials
  • ADMIN
  • OFFICE FORMS
  • HOME
  • ONLINE REGISTRATION/FORMS
  • PATIENT PORTAL (Log in here)
  • ABOUT US
  • EYEWEAR/EYECARE PRODUCTS
    • Frames
    • Lenses
    • Contact Lenses
    • Products
    • Specials
  • ADMIN
  • OFFICE FORMS
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YOUR CART

For our new patients, you may save time at check-in by registering online.  Please be sure to complete all fields.  Click on the button below to begin using HelloSign.
You may also save time at check-in by printing our registration form below and filling it out prior to your appointment. 
Online Registration
3.28.22_mo_ll_registration_1.pdf
File Size: 397 kb
File Type: pdf
Download File


Patient Consent Form
Patient Consent Policy
patient_consent_form.pdf
File Size: 40 kb
File Type: pdf
Download File

patient_consent_form_policy.pdf
File Size: 255 kb
File Type: pdf
Download File


For your convenience, a copy of our Notice of Privacy Practices and some information about the dilated exam are posted below.



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