Dr. Vernon I. Shibata, OD
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Patient Forms


Health History Questionairre
File Size: 203 kb
File Type: pdf
Download File

Please print and fill out this medical history form as best as you can before your appointment.  Dr. Shibata will go over this form with you during your exam.  All information is kept strictly confidential. 
Welcome To The Office
File Size: 25 kb
File Type: pdf
Download File

Please print and fill out this form before your appointment.  All information will be kept confidential.  
​Thank you.
Contact Us
1314 S King St, Suite 610
Honolulu, HI 96814
Phone:  808-591-2991
Fax: 808-591-8267


Office Hours
Mon    8:00 am - 5:00 pm
Tue     8:00 am - 5:00 pm
Wed    Closed
Thu     8:00 am - 5:00 pm
Fri       8:00 am - 3:30 pm
Sat      8:00 am - Noon
Sun    Closed
Notice of Privacy Practices
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  • Our Services
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  • Promotions
  • Eye Care Articles
  • Location