Medications

Medication Information Form

Please fill out this form to provide us with your current medication information.  This will allow us to provide you with the best possible care and design an effective physical therapy program.

Medical Information Sheet

Information related to medication that patients are taking
  • Mecication #1

  • Please note any warnings listed on medications, any RX changes ordered by physicians and the date when ordered, date when any new medications were prescribed, and any known or reported non-compliance.
  • Mecication #2

  • Please note any warnings listed on medications, any RX changes ordered by physicians and the date when ordered, date when any new medications were prescribed, and any known or reported non-compliance.
  • Mecication #3

  • Please note any warnings listed on medications, any RX changes ordered by physicians and the date when ordered, date when any new medications were prescribed, and any known or reported non-compliance.
  • Mecication #4

  • Please note any warnings listed on medications, any RX changes ordered by physicians and the date when ordered, date when any new medications were prescribed, and any known or reported non-compliance.
  • Mecication #5

  • Please note any warnings listed on medications, any RX changes ordered by physicians and the date when ordered, date when any new medications were prescribed, and any known or reported non-compliance.

 Let’s Get You Back To What You Love!

We have a team of experts who are passionate and committed to helping you achieve your dreams of getting you back to what you love doing. Join our facility featuring Hawaii’s ONLY unique and private hydrotherapy system where you will experience world-class therapy leading to faster recovery, better pain management and greater satisfaction.