Patient Forms

Quality Pediatric Dental Care in Kahala & Beyond

At Kahala Pediatric Dentistry, we strive to provide expert pediatric dental care to patients in a warm, welcoming office environment. Dr. Hirai and our dedicated team of pediatric dental specialists work hard to make every visit a pleasant experience, and we strive to design comprehensive, personalized treatment plans that help our patients develop healthy smiles in the long term. We're proud to serve patients throughout the Kahala, Manoa, Honolulu, & Hawaii Kai communities, and we offer a range of dental services to suit a wide range of patient needs. 

We strive to make treatment as comfortable and convenient as possible for both patients and parents, and we're always working to make treatment run more smoothly. We know your time is valuable, so we've created this page to let you find and access all the forms you'll need to fill out during the course of treatment. To save you time during your appointment, we encourage you to print and fill out these forms before your first appointment, then bring them with you to the first visit. 

Patient Forms

You may access the following forms to assist us with your care. Please print and fill out the following forms, then bring them to your appointment.

get_adobe_reader.gif*These forms require Adobe Acrobat Reader. Click the Adobe logo to download.

Contact Your Honolulu & Hawaii Kai Pediatric Dentist

Whether you're brand new to our office or have been coming to us for years, we're always happy to speak with our patients. If you have any questions about the forms above, what to expect at your first appointment, or want to schedule an appointment for your child, we encourage you to call us at (808) 737-0076 or reach out to us at our contact page. We can't wait to hear from you, and we're excited to help your child develop a beautiful, healthy smile!