New Patients

Patient Forms, Map and Directions to Aiea Office

Appointment Request

Your first visit to 'Aiea & Pearl City Dental Care establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more. You can even save some time at your first visit by completing the patient forms online from the comfort of your home in advance of your appointment.

Mission Statement
Our practice is working together to realize a shared purpose of providing a caring experience.

To fulfill this mission, we are committed to:

  • Listening to those we are privileged to serve.
  • Earn the trust and respect of patients, profession and community.
  • Exceed your expectations.
  • Ensure a creative, challenging and compassionate professional environment.
  • Strive for continuous improvement at all levels.

Patient Forms (Digital)
In our efforts to reduce paper, we are striving for a digital patient experience with online forms below. Please kokua, as this technological savy is still new to us. Click the link below then complete the new patient forms online if you would like to help us reduce paper waste and keep Hawaii green. Mahalo for your understanding and patience.

*Note: Please contact us upon completion of the questionnaires to reserve an appointment date and time.*
Please bring your dental insurance information with you to your first appointment.
Must be age 18 or older to complete forms online. Forms may instead be completed digitally via ipads in our office. 
**Parents or guardians please email us at [email protected] to express your consent to the collection of personal information for children under 13 years of age if completing forms for them online.**


Patient Forms (Printable)

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it. 
We apologize for the quality of the forms. We are in the process of creating new digital copies of our forms. Thank you for your understanding.

What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

Tallest building at the Times Square Shopping Center where the Spa used to be in. Behind The VCA, Spicy Ahi, and Ihop. Elevator is in the corner past the stairwell by Tutti Frutti. Free parking in unmarked stalls. 
Photo of our building which is the old spa building by tutti frutti and spicy ahi
ADA: This page has links on it for new patient to click on to fill out forms online. If sight impaired or unable to fill out forms online for any reason, you may complete your forms in our office with assistance from one of our team members. This page also has links on it for existing patients to click on to login to their accounts to access limited account information. If a vision or other disability causes any difficulty creating an account or logging in or navigating your account information, please call us at 808-488-1988 (Monday, Wednesday, Friday 8:00am - 5:00pm HST, Tuesday, Thursday 8:00am - 7:00pm HST, Saturday 8:00am - 12:30pm HST) with any inquiries regarding your account and our team members will help with any questions.