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(808) 377-6901.

Forms at Adult & Child Psychology

If you already scheduled an appointment for your initial consultation with me, please locate the appropriate forms below to print. Please fill out and sign all documents to the best of your ability.

If you have any questions you may contact the office, or we can go over them at our scheduled appointment time. Please do not forget to bring a photo ID and your insurance card along with these forms on our first meeting.

You may also elect to fill these forms out in the office, in which case you should plan to arrive 10 to 15 minutes before your scheduled session time.

Mahalo!

    Specialties:

    • Women’s Issues
    • Anxiety
    • Hypnotherapy
    • Depression
    • Stress
    • Couples Issues
    • Substance Abuse
    • Anger
    • Issues Regarding Aging
    • Children’s Issues

    Call Us Today!(808) 377-6901

    Why Choose Us?

    • Over 12 Years Experience
    • Conveniently Located Near Ala Moana Bus Lines
    • Hawaii Licensed Therapist
    • Accepts Most Insurances
    • Certified in Clinical Hypnotherapy

    Professional Affiliations:

    • National Register of Health Service Providers in Psychology
    • State of Hawaii Licensed Psychologist
    • American Psychological Association
    • Hawaii Psychological Association

    Business Hours

    DayHours
    Monday10:00 AM to 6:00 PM
    Tuesday10:00 AM to 6:00 PM
    Wednesday10:00 AM to 6:00 PM
    Thursday10:00 AM to 6:00 PM
    Friday10:00 AM to 6:00 PM
    SaturdayClosed
    SundayClosed