graphic: kids

Is Your Child Sick?TM

Visual Symptom Checker


Medical Emergency:
Poison Control:

Office After Hours:
Call 911
(800) 222-1222

(808) 524-2575

New Patients

Welcome to our practice! Please call our office at (808) 263-8822 prior to registering so we can gather the necessary information and better serve you.

After you have spoken with our office, you may begin the registration process. If you need assistance with the registration process at any point, please call our office.

Step 1: Complete the online patient Registration Form and PCP Selection Form for HMSA Members Under 18 (if your child has HMSA or HMSA Quest insurance). In addition, please complete all of our new patient paperwork below. Before signing the Patient-Provider agreement form, review our Patient-Provider Agreement and Notice of Privacy Practices. If you prefer you may print the forms and fax them to 808-261-6749 or email them to

If you prefer to bring the forms with you to your appointment, please arrive 15 minutes early so our office staff will have time to review and input.

Step 2: Obtain a copy of your child's immunizations. Please bring the immunization records to our office, email them to or fax them to (808) 261-6749 prior to your first visit if possible.

Step 3: Appointment time! We look forward to meeting you and your child. You may request an appointment online or call our office at (808) 263-8822 during office hours and our staff will be happy to assist you.

Reis Pediatrics Notice of Privacy Policy

Our Online Forms:

New Patients (Newborn – 2 months):

New Patients (2 months and older):

Download and Print Forms:

New Patients (Newborn – 2 months):

New Patients (2 months and older):