Makana North Shore Urgent Care & Dermatology will be closed to the public on Tuesday, 10/21/2025 from the hours of 12:00 PM to 2:00 PM. We will resume normal operations at 2:00 PM. Mahalo for your cooperation and understanding!

Pay Online

Patient Forms

R.1 Patient Registration
R.2 Med Info Release Form HIPAA
R.3 Patient Financial Responsibility Form
R.4 Credit Card Authorization Form Customers
R.5 Patient Receipt of HIPAA Privacy Notice
R.6 Notice of Privacy Practices for PHI and Patient Rights
R. Patients Rights and Responsibilities

To expedite your visit:

1. Please print & complete this form:

Registration Packet (Print & Fill-Out)

2.  Please review this form:

Notice of Patient Privacy Practices for PHI & Patient Rights