Patient Information
All the links and resources you need to get started. If you don’t see what you’re looking for, contact us!
Becoming
a Patient
Intake
Forms
Accepted
Insurances
How to Become a Patient
With Insurace Coverage*
Just follow these three easy steps!
*CLICK HERE to see which insurance is accepted.
Visit your Primary Care Provider
Your physician will determine if physical or occupational therapy is necessary for your condition.
Get a Referral for Therapy
Your PCP must fill out the required forms and send directly to our office.
Schedule an Appointment for an Evaluation
After the evaluations, a course of treatment will be determined and implemented.
OR
Direct Access
Doctor's Referral NOT Required
This option is applicable if you don’t have a primary care physician and/or intend to pay out of pocket (no insurance).
Call to Schedule an Evaluation
After the evaulation, a course of treatment will be determined and implemented.
Pay for Services Rendered
You are responsible for payment at the time of service.
Intake Forms
Select one of the boxes below (blue or green), and follow the steps to access the required forms.
Physical & Occupational Therapy Patients
Follow the steps below to ensure you fill out all necessary forms before your scheduled appointment.
Step 1. Registration Forms
- CLICK ICON to access the New Patient Registration forms:
> General Patient Demographics
> Consent to Treatment / Privacy Policy
> Cancellation Policy
- PRINT to complete manually, or
- DOWNLOAD to your computer desktop
- GO TO STEP 2.
Step 2. Medical History
- CLICK ICON to access the Medical History Form
- PRINT to complete manually, or
- DOWNLOAD to your computer desktop to complete digitally.
- GO TO STEP 3.
Step 3. Area of Concern
- SELECT ONE of the forms below that best represents where you’re experiencing most difficulty.
|
NECK Neck Disability Index (NDI) |
|
ARM, HAND Disabilities of the Arm, Shoulder, and Hand (DASH) |
|
SHOULDER QUICK DASH Outcome Measure |
|
LOWER BACK Modified Oswestry Low Back Pain Disability Questionnaire |
|
HIP JOINT REPLACEMENT Hip Disability and Osteoarthritis Outcome Score for Joint Replacement (HOOS JR) |
|
KNEE JOINT REPLACEMENT Knee Disability and Osteoarthritis Outcome Score for Joint Replacement (KOOS JR) |
|
LOWER LIMBS (LEGS) Lower Extremity Functional Scale (LEFS) |
- PRINT to complete manually, OR
- DOWNLOAD to your computer desktop to complete digitally.
- GO TO STEP 4.
Step 4. Submittal
For your utmost security and privacy, we ask that you bring your completed forms to your scheduled appointment.
Completing your forms before your initial appointment will save you time at the clinic!
Mahalo!
Pelvic Health Patients
Follow the steps below to ensure you fill out all necessary forms before your scheduled appointment.
Step 1. Registration Forms
- CLICK ICON to access the New Patient Registration forms, which includes the following:
> General Patient Demographics
> Consent to Treatment / Privacy Policy
> Cancellation Policy
- PRINT or DOWNLOAD to your computer desktop.
- GO TO STEP 2.
Step 2. Pelvic Health Medical History
- CLICK ICON to access the Pelvic Health Medical History Form
- PRINT to complete manually, or
- DOWNLOAD to your computer desktop to complete digitally.
- GO TO STEP 3.
Step 3. Pelvic Floor Disability Index
- CLICK ICON to access the Pelvic Floor Disablity Index
- PRINT to complete manually, or
- DOWNLOAD to your computer desktop to complete digitally.
- GO TO STEP 4.
Step 4. Submittal
For your utmost security and privacy, we ask that you bring your completed forms to your scheduled appointment.
Completing your forms before your inital appointment will save you time at the clinic!
Mahalo!
Accepted Insurances
We accept the majority of all Hawaii based and many mainland insurances. Please contact us to confirm if your insurance is not listed below. Contact us to inquire.
We do NOT accept AlohaCare, ‘Ohana Health Plan, or UHC Quest.
We're Here
When You Need Us
Email*
Call
(808) 334-0806
Fax: (808) 334-0483
Text Us Safely*
Address
75-1029 Henry St, Suite 101
Kailua-Kona, HI 96740
* Your safety and privacy are important to us. Kona Rehab abides by HIPAA Rules & Standards to protect your personal health information (PHI). The HIPAA Security Rule requires medical professionals to protect patients' electronically stored, protected health information by using appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity and security of this information. Our text system is encrypted to allow safe transfer of information without compromising your privacy. At present, our email does not offer HIPAA-approved security, therefore we request you do not communicate personal health information via email.
Office Hours
Monday - Friday
7:30am - 5:00pm
Saturday & Sunday
CLOSED