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Practice Name

Niu Health for a New You! at Niu Health Chiropractic

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Primary Location
1110 University Avenue #304
Honolulu, HI 96826
Phone: 808-783-1046

Office Hours

DayMorningAfternoon
MondayClosedClosed
Tuesday9:30am7:30pm
Wednesday9:30am7:30pm
ThursdayClosedClosed
Friday9:30am7:30pm
Saturday8:30am3:00pm
SundayClosedClosed
Main Content

In order to provide you the best possible wellness care, please complete this form. Your privacy is important to us. This form is safe and secure. Make sure you see "Mahalo for your submission" after you click Submit, otherwise the Doctor will not have received your form!

Patient Data

Completing this form will save time and give us information to prepare for your exam. Privacy of your information is important to us. This form is HIPAA compliant and we will never share any identifying information with any third parties without your direct consent.

Illness is a synchronistic opportunity to embrace change that can lead to greater health and well being - Dr. Larry Malerba, Green Medicine.

Please rate your enthusiasm, between: 1 - not willing and 5 - very willing! If your total is less than 25, we may not be a good fit for you.

Current Complaints

Nature of injury/health concern

Vibrant health requires proper functioning of the nervous system to ensure our body cells receive the energy and stimulation needed to carry out their function. An accumulation of physical, chemical, emotional stresses can affect our body's ability to heal.

Medical History

Have you ever had:

Habits

Through experiencing chiropractic and relieving nerve interference, over time, you may find you naturally gravitate towards more health promoting behaviors. Whether you decide to work with us short term, long term, or choose a different route, you are always welcome at Niu Health Chiropractic!

The end! Congratulations and thank you for your time. Please initial the statements below and submit your form:

Copy and paste this link in a new browser to read the Informed Consent form, Arbitration Agreement: http://tinyurl.com/mcl7o7r

Copy and paste this link in a new browser to read the HIPAA Privacy Form: http://tinyurl.com/nzg9e9h

You are done! Thank you for taking the time to fill this out. Make sure you see "Mahalo for your submission" after you click Submit. If you didn't, look to see if you missed a required question! Otherwise, the Doctor will not have received your form!

Exclusive Offer

Special kamaʻaina/resident rate for new patients!

Hawaiʻi ID required. Click on the button below or contact us at 808-783-1046 to take advantage of this exclusive offer.

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Client Testimonial

Dr. Christine is a wonderful healer, with a powerful yet gentle touch and a huge heart. Her adjustments are soft and comfortable and simultaneously extremely precise and effective. I cannot recommend Dr. Christine enough.

A.K -
Honolulu, HI


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About Us

Know more about Niu Health for a New You! at Niu Health Chiropractic - Your Honolulu Holistic Doctor

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Contact

Niu Health for a New You! at Niu Health Chiropractic
1110 University Avenue #304
Honolulu, HI 96826
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Office Hours

DayMorningAfternoon
MondayClosedClosed
Tuesday9:30am7:30pm
Wednesday9:30am7:30pm
ThursdayClosedClosed
Friday9:30am7:30pm
Saturday8:30am3:00pm
SundayClosedClosed
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