Forms
New Patient Forms
Please fill out this form and bring a physical copy or email to smigelmd@gmail.com if this is your first appointment at Hawai’i Center for Regenerative Medicine or your first appointment in the last 2 years.
Authorization for the Release of Medical Information
Please fill out this form if you need to authorize the release of your Medical information from Hawai’i Center for Regenerative Medicine. Email the completed form to smigelmd@gmail.com, bring a physical copy to the office or fax to (808)933-3433.