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Manoa Chiropractic and Therapeutic Massage offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form


Download the Free AdobeReader®

Exclusive Offer!

Contact us today for a free phone consultation!

Sign-up using the form or call us at 808-988-6113 to get more information.

THIS ---->https://manoachiropracticandmassage.com/new-patient-center/online-forms.html

Office Hours

Day
Monday9:00am6:00pm
Tuesday9:00am6:00pm
Wednesday9:00am6:00pm
Thursday9:00am6:00pm
Friday9:00am6:00pm
Saturday9:00am3:00pm
SundayClosedClosed
Day
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am 9:00am Closed
6:00pm 6:00pm 6:00pm 6:00pm 6:00pm 3:00pm Closed

Testimonial

The female therapist massaged me before and I am glad that I got a chance to write a review about her and her miraculous hands. Her massage is firm but gentle where it needs to be. Her bright and uplifting personality just adds on the experience when I have a massage with her. We discuss everything before the massage and if anything needs to be adjusted also in between.

Truly thankful.

Mona R.
Honolulu, HI

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