Kohala Coast Urgent Care & Kalania MD Wellness
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Kohala Coast Urgent Care & Kalania MD Wellness

Signed in as:

filler@godaddy.com

  • 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


  • Sign In
  • Bookings
  • Orders
  • My Account

Kohala Coast & MOLOKA`I Urgent Care Clinical Forms

Downloads

KCUC Registration Form (pdf)

Download

KCUC Intake Authorization MedRecords Release (pdf)

Download

INFORMED CONSENT FOR OPIOID PRESCRIPTIONS (pdf)

Download

TB-Document-F_State-of-Hawaii-TB-Clearance-Form-20170718 (pdf)

Download

adult photo release (1) (pdf)

Download

minors photo release (pdf)

Download

KCUC VAX FLU VACCINE CONSENT FORM.docx (pdf)

Download

KCUC VAX VACCINE REG FORM.docx (pdf)

Download

KCUC VAX Parental Authorization for Vaccination.docx (pdf)

Download

KCUC VAX COVID Booster Attestation (pdf)

Download

KCUC COVID PCR REGISTRATION FORM - REVISED AUG 2022.docx (pdf)

Download
  • DOC IN THE MEDIA
  • Patient Rights
  • Privacy Practices Notice
  • Privacy Policy
  • Terms and Conditions

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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