1598 Ulupii St., Kailua, HI. (808) 234-4897

Copyright 2016 © Lim Physical Therapy, LLC. All rights reserved.

Physicians, please fill out the following form and fax (888-509-9789) to our office:

Physician Referral

New Patient Forms

Forms to print and fill out prior to your first visit

If you don't have access to a printer, no problem.  Just come 10-15 minutes before your appointment time to fill out the forms. Please remember to also bring your insurance card to your first appointment.  Thanks!

Patient Information

Medical Profile Questionnaire

Consent to Treat

Below is our HIPPA Notice of Privacy Practices. You do not need to print or sign this form, but please know that it is always here for your review. 

HIPPA Notice of Privacy Practices