(808) 551-8947

CLIENT FORMS

Please complete forms online and submit or you can download, print and fill out the following and email it to [email protected] Please include your reason for coming in as well in the email.

NEW CLIENT

Imi Ola Patient and Payment Policy

HIPAA FORMS

HIPPA Notice of Privary Practice

IMPORTANT INFORMATION

If you plan to utilize your insurance, please attach:

A front and back photo of your medical insurance card
A front and back photo of your picture ID (Driver’s License, State ID, Etc.)

Please indicate via email if you are preferring in-person or telehealth sessions. Once completed, please email the completed forms and items to [email protected]

TESTIMONIALS

"After years of struggling with fatigue and mood swings, I finally feel like myself again. Natalie took the time to listen, run the right tests, and build a plan tailored to me. I’ve never had a provider be so thorough and compassionate. Imi Ola Clinic has changed my life."

Jessica M.

Waipahu, HI – Hormone Therapy Patient

"The NAD+ and vitamin infusions at Imi Ola Clinic are a game-changer. As a busy entrepreneur, I need to stay sharp and energized. Natalie and her team make every session smooth, safe, and professional. I trust them 100%."

Kelly T.

Kaneohe, HI – IV Therapy & Wellness

👩‍🦳Renee A.

"After battling lingering symptoms from COVID, Natalie helped me finally get my energy and breathing back. She understood things most doctors brushed off. Her care plan combined modern and holistic treatments that actually worked."