Request for Information

Oahu Psychological Services

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Request for Information

All requests are kept secure and confidential. We aim to respond within two business days, if not sooner.

Questions with an asterisk (*) are required.

Seeking services

Select from the drop-down items. If Not Sure, please describe what you are looking for under 'Concerns.'
Please describe what you are looking for, and who this is for if not yourself. If there's anything else that you would like us to know prior to scheduling an appointment, please include it here.

If for a minor, please include age and school.

If a medical referral, please put doctor's name.
Listed are the insurances we accept. Please make sure of the individual insurance plan requirements, some may need a referral or pre-authorization before your visit.

Non-Insurance customers will be charged full rate.

We're open Monday to Friday for initial appointments. Closed on Sundays and federal holidays.

Mahalo for your interest in us!

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