1188 Bishop St. | Suite 3301 | Honolulu,HI 96813 | aloha@thezencenter.com



New Patient Intake Form

Please download PDF, print and fill out form before your initial appointment. If you can email it to us, please send it to Info@TheZenCenter.com. You may also bring it with you on your initial appointment.

If you haven’t already scheduled an appointment, please schedule online or call our office at (808) 599-2700 to set up your first visit.

If you’ve already scheduled an appointment, there’s nothing else you need to do to prepare. If you have treatment covered under your medical insurance, be sure to bring in your insurance card when you come for your visit. See you soon!

On-line New Patient Intake Form
Be sure to complete the entire intake form.

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1188 Bishop St. • Suite 3301 • Honululu,HI 96813 • Tel: 808-599-2700 • Fax: 808-356-0535 • info@thezencenter.com

©2017 copyright • The Zen Health Center

Office Hours

Chiropractic Adjustments: Monday – Friday 8:00 a.m. to 5:00 p.m, Saturday once a month.

Therapeutic Massage: Monday – Friday 9:00 a.m.to 4:00 p.m.

Validated parking available at Kukui Plaza on S Kukui St.