Patient Forms and Surveys

Welcome to Lāna`i Community Health Center

The Lāna'i Community Health Center’s mission is to take care of the community of Lāna`i by directly providing health services (primary care, dental, behavioral health and selected specialty services) to the community; providing activities and services through partnerships with local organizations as well as the many off-island organizations reaching out to Lāna`i by serving as coordinator, advocate, resource, initiator, and convener;
and working collaboratively to provide space for partners who can provide needed services for Lāna`i.

OFFICE HOURS
Monday – Thursday: 8:00 am - 7:00 pm
Friday: 8:00 am – 5:00 pm
Saturday: 8:00 am - 3:00 pm
Sunday: CLOSED

ORAS TI OPISINA
Lunes/Martes/Miyerkules/Huwebes: 8:00 am – 7:00 pm
Biyernes: 8:00 am – 5:00 pm
Sabado: 8:00 am – 3:00pm

LOCATION
Health Center: 333 Sixth Street

LOKASYON
Italmeg ti kakalbitan iti mapa tapno maiturong kayo iti Mapa ti Google Ipigket ditoy a pahina: Lugar a masarakan iti 478 Lauhala Place, Lanai City, HI Para ti kadakkelan nga pangbuyaan iti mapa, mabalin nga ipadakkel ken ipabassit, ken iprinta ti direksyon

Click on the text links below for downloadable PDF forms:

You will need Adobe Acrobat, a free software program to download, view and print these files.

We Love Your Feedback!

We want to know how you feel about the services we provide so we can make sure we are meeting your needs. Your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Please click on the appropriate link below to complete a survey.

Thank you for your time.