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Forms for EmPower Health

Welcome to EmPower Health. Please print and complete the following forms prior to your appointment, and bring them with you to your first visit with us.

EmPower Health

91-6390 Kapolei Parkway, Ewa Beach, HI 96706

Phone:
808-691-8200

Hours:
Monday – Friday, 8:00 am – 5:00 pm
Free Parking Available

Forms

New Patient Registration Form

Consent For Treatment

Medical Release Form

Patient Rights & Responsibilities

Forms can be completed online with MyChart.