(808) 875-4808

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Doctor Referral Form

The referral form below is provided for our referring doctors. For your convenience, this form can be printed, filled out and given to the patient or mailed to our office prior to the patient’s first visit with us. Thank you for your referrals and your expression of confidence in our office.

For your convenience, our Patient Forms are available for download here in Adobe Acrobat PDF format. The Adobe Acrobat Reader is FREE and can be downloaded by clicking on the icon below.

Dr. Cally L. Adams

1325 South Kihei Road, Suite 108
Kihei, Hawaii -96753

Contact

(808) 875-4841

Hours

Monday - Wednesday: 8:00am - 5:00pm
Thursday: Hospital Day
Friday: 8:00am - 12:00pm
After Hours Emergency Fee $250.00