Patient Forms, Map and Directions to Honolulu Office
Your first visit to Gary T. Umeda, DDS establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance of your appointment.
Thank you for assisting us in making sure your dental health is optimal. People are keeping their teeth longer and healthier. Dr. Umeda wants to make sure you stay in great shape. Each question is very important and gives Dr. Umeda vital clues in understanding your current situation. Even a high school picture is very helpful. Making sure your dental health improves and stays healthy starts here. Thanks again!
- New patient information Form
- Dental & Medical History Form
- Privacy Statement (pdf)
- Patient Information (pdf)
- Financial Information (pdf)
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.