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GENERAL FORMS

MY CHART ACCESS FORM

Please print and complete the form for access to your medical records. You may fill out the form and mail/drop off to the office or fax yourself to Straub Health Information Department at (808) 522-3207

WELL CHILD CHECK CALENDAR

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Routine Check Up Schedule:

  • 2 week 

  • 1 month

  • 2 month

  • 4 month

  • 6 month

  • 9 month

  • 1 year

  • 15 months

  • 18 months

  • Annually from 2 years to adulthood

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