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If you would like to request your patient records to be sent to/from multiple physicians/clinics; a separate/individual request needs to be completed for each one.

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You may either print form(s) and fill out, or create a PDF, fill it out and then print.

We are unable to receive records or completed requests via email; it is not secure, nor HIPAA compliant.

Protecting your personal data is important to us. 

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Please fax your release form to the office (808) 877-4363.

Select this option if you are requesting another

doctor release your records to Dr. Endo

Select this option if you are requesting Dr. Endo release your records to another doctor. 

Release of Dr. Endo's records will be sent approximately 10-14 business days from the day we receive your signed release form.

Normally the last three (3) years of records will be sent with all pathology and lab reports.

Select this option if you are unable to accompany your child to any follow up appointments.

A parent/legal guardian needs to be present for the patient's initial office visit.

The patient portal is only available after you have become an established patient and requested access at your office appointment.

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