Aikahi Dental - Family Dentist | Kailua, HI Dentist with patient

Your answers on these forms will help us provide the best dental care possible to you! Please fill in all the spaces and try to be as accurate as possible. If you have any questions please feel free to contact our office.

"Dr. Millar at Aikahi Dental did everything he could to help me relax and have the experience as least-traumatic as possible."

– T.L.

Patient intake form

If you are a new patient to the office, please fill out this medical history form completely in ink. Your answers will help us to get an accurate history of your health care before treatment begins.

Patient medical history form

Please print and fill out both the patient intake and medical history forms. Be sure to bring the two forms with you to the office on the day of your scheduled appointment.

Patient intake and medical history forms

Aikahi Dental patient forms

To help us meet all your healthcare needs, please fill out this form completely in ink. If you have any questions or need assistance, please contact us and we will be happy to help.

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