Patient Forms

If you would like to save time during your initial appointment with Dr. Derek Takai, we encourage you to fill out our patient forms prior to your visit. This will allow you to see our dentist much sooner! We encourage you to contact our dental office in Honolulu, Hawaii, today if you have any questions, and to schedule your appointment.

The next page’s header is titled as New Patient Forms Sign In. Please note that both existing and new patients should fill in the prompts, and it will allow access to all patient forms:

First name
Last name
Appointment date
Submit

Patient Forms