Don’t Wait to Get the Help You Need

Contact

Please use the form on this page to send a message. You may also call, or email anytime using the information below.

Phone: (385) 289-2488 | Email: ams@alohamedservices.com 

The Road to Healing Begins Here

Send Us Your Questions

Patient form

Patient form

Name
Name
First
Last
Please Select the Topics you Have Questions About
Check all that apply.
Terms of Use
By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold us harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.