Kohala Coast Urgent Care & Kalania MD Wellness
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Signed in as:

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  • Home
  • About Us
    • About Us
    • The TEAM
    • Areas of Specialty
  • Clinic Services
  • FORMS and DOCUMENTS
    • KOHALA COAST FORMS
    • Covid Testing
    • Medication Waiver
    • Patient Rights
    • Privacy Practices Notice
  • KALANIA MD Wellness
    • KALANIA MD Wellness
    • SkinBetter Science
  • Shop
  • Contact Us

Account


  • Bookings
  • Orders
  • My Account
  • Sign out


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  • Bookings
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COVID-19 VACCINATION

ALOHA!!!


We are happy to support vaccination as one of the best ways to protect YOU, YOUR OHANA, and YOUR COMMUNITY! 


Please complete a form for EACH PERSON needing vaccination.


When your information has been submitted, our team will confirm your details with you and will answer any questions you may have.

VACCINE REGISTRATION FORM

KCUC VACCINE REGISTRATION FORM (pdf)

Download

KCUC VAX COVID Booster Attestation (pdf)

Download

KCUC VAX Parental Authorization for Vaccination (pdf)

Download

Scan to access our combined forms

COVID 19 VACCINATION REGISTRATION

Scan the QR CODE with your camera 

OR

Click on the link below and complete the combined registration form.


Please complete a form for EACH PERSON needing vaccination.

CLICK here to register

COVID Vaccination information & Resources

COVID VACCINATION FAQs

What are the latest recommendations for VACCINATION?

Answer 1.

For the latest recommendations please refer to the following local, national and international resources.  


What does your clinic charge for COVID vaccination?

COST DETAILS- no copay for administration, your insurance may bill you but you will not receive a bill from our clinic for administration of COVID vaccine 


QUESTION 2?

Answer 2.



QUESTION 3

Answer 3.

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Kohala Coast Urgent Care, LLC & Kalania MD Aesthetics, LLC

62-100 Kauna'oa Drive, Kamuela, Hawaii 96743, United States

(808) 880-3321

Copyright © 2025 Kohala Coast Urgent Care, LLC & Kalania MD Aesthetics, LLC - All Rights Reserved.

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