Patient Forms

• New Patient Paperwork
• PRK Consent Form-Bilateral
• Bilateral Simultaneous LASIK
• Medical Records Release Form from ESH
• Medical Records Release Form to ESH
• Medical records release Form to ESH: Keratoconus

EyeSight Hawaii is now using Promptly as our new, easy-to-use contactless check-in solution! Promptly allows you to update your demographic and insurance information, view your statements, make payments, and sign consent forms related to your appointments. Click here to access our patient webapp!

Request an Appointment

Simply complete the form below and an administrator will contact you to set your appointment.

Name(Required)

Phone Number(Required)

Email(Required)

Choose Type of Service(Required)

Choose Type of Service *Comlimentary LASIK/PRK ConsultationCataract EvaluationCorneal EvaluationDry Eye EvaluationRoutine Eye ExamContact Lens ExamOptical ServicesCosmetic Services (Botox/Latisse)Other (Please describe below)

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