Forms
Please mail, fax or File Drop (Recipient email: uhhsms@hawaii.edu) Please do not email the form to us, for security reasons.
- Telehealth Informed Consent (PDF )
- Vaccinations Pharmacy List
- Consent for Release of Medical Information (PDF ) (use the page 1 when requesting UH Hilo SMS to send your records elsewhere and page 2 when requesting records to be sent to UH Hilo SMS)
- Consent for Treatment of Minors (PDF ) (for patients under the age of 18)
- New Patient Packet (PDF )(Please fill out the New Patient Packet and send it back via filedrop or fax 808-932-7368 or you can also hand deliver to our office before your appointment)
- Requirements for Retrieving Immunization Records from HISIS (PDF )
These forms are also available at the
Student Medical Services Rocks