New Patient Forms

Office Building | Kalaheo Dental Group | Kalaheo, HI

Kalaheo Dental Group always welcomes new patients. Please call or email to schedule an appointment with Dr. Lutwin, Dr. Rita, Dr. Stebbins, or one of our excellent Registered Dental Hygienists. Click here to send us an email!

Save time waiting in our office by filling out necessary forms online. Feel free to give us a call if you have any questions.

 

Official Patient Form

You can electronically sign here! No need to print.

Records Release

You can electronically sign at the link below. No need to print!
 

HIPPA Compliance Letter

New Patient Form

Office Policies

Notice of Privacy Practices

Acknowledgement of Receipt of Notice of Privacy Practices

Getting an appointment is fast and easy!