Patient Forms

Mālama Dermatology Oahu

Non-Portal Patient Forms

Additional Consent Forms

Please note that most patient forms are available through the Sadio Portal before your appointment as well as via ipad check-in at the time of your appointment. Please complete any applicable consent forms below:

  • Consent for Treatment of Minor Patients
    *A parent or legal guardian is encouraged for the first visit with any patient under the age of 18. Please complete this form if you would like to give permission for another designated individual to accompany your child to his/her appointment.
  • Medical Records Release
    *A Medical Records Release is required to release Malama Dermatology, LLC medical records. (If you would like to send medical records TO Malama Dermatology, LLC please call the office/physician where your care originated.)
  • Authorization to Share your Information with a Family Member
    *This allows the patient to designate another person(s) who is authorized to discuss the patientā€™s medical care, including Protected Health Information.

Schedule Your Appointment Today

Experience personalized and exceptional skin care at Mālama Dermatology, LLC. Whether you need medical, surgical, pediatric, or cosmetic dermatology services, our dedicated team is here for both adults and children on Oahu.Ā  Schedule your appointment today and let us take care of your skin health.