Interested in The Queen's Medical Center's expansion plans?

Forms for EmPower Health

Forms for EmPower Health

Close up on red flower

EmPower Health

91-6390 Kapolei Parkway
Suite 200
Ewa Beach, HI 96706

Phone:
808-691-8200

Fax:
808-691-3955

Hours:
Monday – Friday, 8:00 am – 5:00 pm
Free Parking Available

Forms

New Patient Registration Form

Consent For Treatment

Medical Release Form

Patient Rights & Responsibilities

Forms can be completed online with MyChart.