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EYES PLUS, INC. - Dr. Hank Makini
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  • HOME
    • Contact Us
  • Request An Appointment
  • Our Practice
    • Meet the Staff
    • Location
    • Office Hours, Special Schedules & Holidays
    • Testimonials
    • The Doctor's Pen
    • Eye Care Articles
  • Our Services
    • List of our Services
    • Project SAVE
    • Academic Vision Care
    • Marlo Contact lens ordering
  • Insurance
  • Forms
  • Promotions
    • Advertised Promotions
    • Special Events
  • Community Outreach

Patient Forms 

NEW PATIENTS & PATIENTS RETURNING AFTER 3+ YEARS (completion of patient forms are required)
1. Please click on the button below to complete and submit all three forms securely online before your scheduled appointment.
2. Please bring a valid picture ID (ie, drivers license, state ID) to your appointment.
3. Please also bring all your current insurance card(s) and/or information (ie, Insurance name(s), member ID#(s), plan type(s))
4. Please be sure to check-in 30 minutes prior to your appointment time for preliminary & any medical history work-up
click for secure link to complete required forms
Required forms: (1) Patient Information, (2) Office Policies, (3) HIPAA

PRINT OPTION
If printing and completing our Required Forms are desired over completing our easy secure online forms option above, please download all three forms below and complete before your scheduled appointment. Please be sure to bring these forms with you at check-in.
PATIENT INFORMATION
File Size: 202 kb
File Type: pdf
Download File

PATIENT ACKN. & OFFICE POLICIES
File Size: 187 kb
File Type: pdf
Download File

NOTICE OF PRIVACY PRACTICES
File Size: 225 kb
File Type: pdf
Download File

Locate Us

NORMAL OFFICE HOURS

Mon  8:00am - 5:00pm
Tue    8:00am - 5:00pm
Wed  8:00am - 5:00pm
Thu       CLOSED
Fri      8:00am - 5:00pm
Sat    7:30am - 12:00pm
                     Sun
       CLOSED                    
*ALL visits to the office are by Appt ONLY 
> Please text/call <   MAHALO!

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Contact Us
EYES PLUS, INC.

Dr. Hank Makini
Optometrist

​Manawa at Mehana
1049 Kakala St. #102
Kapolei, HI 96707
Phone: 808-674-0744

Fax: 808-333-3744
​
​Find us on: 
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Notice of Privacy Practices
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