New Patients

Patient Forms, Map and Directions to Honolulu Office

Planning your first visit to GI Health Hawaii.  On this page, you'll find the information you need to get started, such as a map and directions to our office. To save you time, we've also included our new patient forms, which you can print out and complete prior to visiting our office.

Mission Statement

Our practice is working together to realize a shared vision of uncompromising excellence in gastroenterology.

To fulfill this mission, we are committed to:

• Listening to those we are privileged to serve.
• Earn the trust and respect of patients, profession and community.
• Exceed your expectations.
• Ensure a creative, challenging and compassionate professional environment.
• Strive for continuous improvement at all levels.

Patient Forms

For your convenience, our patient forms are located below. Please download, print and complete the following forms so we can expedite your first visit:

• Medical Release Form [PDF] 
• New Patient Registration - English [PDF]
• New Patient Registration - Korean [PDF] 
• Notice of Privacy (English)
• Notice of Privacy (Korean)
• Patient Interview Form [PDF]
• Colonoscopy Billing: What You Need to Know (ENGLISH) [PDF]
• Colonoscopy Billing: What You Need to Know (KOREAN) [PDF]
• Extended Colonoscopy Bowel Prep (ENGLISH) [PDF]
• Extended Colonoscopy Bowel Prep (KOREAN) [PDF]
• Miralax Colonoscopy Bowel Prep (ENGLISH) [PDF]
• Miralax Colonoscopy Bowel Prep (KOREAN) [PDF]
• Moviprep Colonoscopy Bowel Prep (ENGLISH) [PDF]
• Moviprep Colonoscopy Bowel Prep (KOREAN) [PDF]
• Osmoprep Colonoscopy Bowel Prep (ENGLISH) [PDF]
• Osmoprep Colonoscopy Bowel Prep (KOREAN) [PDF]
• Standard Bowel Prep Guide (ENGLISH) [PDF]
• Standard Colonoscopy Bowel Prep (KOREAN) [PDF]
• Suprep Colonoscopy Bowel Prep (ENGLISH) [PDF]
• Suprep Colonoscopy Bowel Prep (KOREAN) [PDF]
• Upper Endoscopy (EGD) Preparation (ENGLISH) [PDF]
• Upper Endoscopy (EGD) Preparation (KOREAN) [PDF]
• Upper Endoscopy (EGD) Billing (ENGLISH) [PDF]

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it:

Insurance and Billing

Our office accepts insurance from the following companies and many others, including HMAA, Hawaii Laborers Health and Welfare Fund, Medicare of Hawaii, Pacific Southwest Administrators, UHC Medicare Complete, University Health Alliance, etc. Please feel free to contact our office if you have any questions specific to your coverage.

Payment Options
Please see our Financial Coordinator for details.

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.