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Patient Forms

Please feel free to complete these forms from the leisure of your own home and bring them with you to your first appointment. If you have any questions or need assistance, please call our office at (808) 678-3000 and we will be happy to help!

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Registration Form
Medical History
Dental History
Privacy Practice
Caries Risk Assessment

Office Hours
Monday: 8:00 AM - 4:30 PM
Tuesday: 8:00 AM - 4:30 PM
Wednesday: 12:00 PM - 7:00 PM
Thursday: CLOSED
Friday: 8:00 AM - 4:30 PM
Select Saturday: 8:00 AM - 2:00 PM
Sunday: CLOSED
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LOCATION

PALOLA DENTAL, INC.
94-1221 Ka Uka Blvd., Suite 201
Waipahu, Hawaii 96797
Call: (808) 678-3000