(808) 591-8778

PATIENT INTAKE FORMS

Instructions for filling out Intake forms if you have an Initial Office Visit scheduled

Step 1: Please open the patient intake forms below.

Step 2: Once clicked, you can fill out the form and save changes.

Step 3: After downloading it, please email the forms to Dr. Karen Tan. 

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Patient Center for Innovative Medicine in Honolulu

Download the forms here

You can now easily access and complete the forms directly from your phone, computer and tablet. Simply fill out the required information on your mobile device, and once you’re finished, you can download the completed form for your records and save it under your name. 

Honolulu's Center for Innovative Medicine: Individualized solutions for restoring health

A full and healthy lifestyle is about moving forward in our lives as we achieve optimal health and wellness through our innovative therapies.

Contact Us

Karen Tan, ND, MAcOM, LAc

1150 South King Street, Suite 905
Honolulu, HI 96814

Call 808-591-8778

Center for Innovative Medicine Honolulu

Center for Innovative Medicine Honolulu