Foley OB & Aesthetics
808-762-0261

Patient Forms, Insurance & Billing

Before your visit.

Forms, insurance and billing in one place, so check-in is quick and there are no surprises.

Front desk check-in at Foley OB & Aesthetics in Mililani

01 · Patient forms

Save time at check-in.

Print, fill out and bring with you. Questions? Call 808-762-0261.

01
New patient formsPDFRegistration, health history and consent. Fill them out before your first visit to save time at check-in.
Download ↓
02
Medical records requestPDFTransferring from another provider, or need your records sent elsewhere? Start here.
Download ↓
03
Patient portalOnlineMessage our team, view results and manage appointments online.
Call for portal access

02 · What to bring

Your first-visit checklist.

We’re at 95-720 Lanikuhana Ave., Suite 220. OB/GYN is open Monday to Saturday, 8:00 AM to 5:00 PM.

01Photo IDA driver’s license or other government-issued ID.
02Insurance cardFront and back, for OB/GYN visits.
03Completed formsYour new patient forms, filled out and signed.
04Medication listPrescriptions, supplements and any allergies.
05Previous recordsIf you’re transferring care, especially during pregnancy.

03 · Insurance & billing

Clear about cost, up front.

How you pay depends on the side of the practice you’re visiting.

OB/GYNBilled to insuranceWe work with most major Hawaiʻi health plans and verify your coverage before your first visit.
  • Prenatal care & delivery
  • Well-woman & GYN exams
  • Fertility & menopause care
  • In-office procedures
OB/GYN · 808-762-0261
Aesthetics + WellnessSelf-payElective treatments are paid at the time of service and aren’t billed to insurance.
  • Laser, skincare & injectables
  • Lash, brow & massage
  • Medical weight loss & IV therapy
  • 3D/4D keepsake ultrasound
Aesthetics · 808-762-0265

Billing questions? Email office@foleyobandaesthetics.com

04 · Billing FAQ

Good to know.

Something else on your mind? Call 808-762-0261.

We work with most major Hawaiʻi health plans for OB/GYN care. Call 808-762-0261 and we’ll confirm your specific plan.

Yes. Our team checks your benefits before your first OB/GYN appointment, so you know what to expect.

No. Aesthetics + Wellness treatments and 3D/4D keepsake ultrasounds are elective and self-pay.

Download and complete the medical records request form, then send it to your previous provider or bring it to your visit.

Printed and completed forms are quickest. If you can’t print them, let us know when you book.

Call 808-762-0261 or email office@foleyobandaesthetics.com, Monday to Saturday, 8:00 AM to 5:00 PM.

Book a visit

Ready when you are.

We’ll confirm your visit and verify your insurance.

808-762-0261