Craig H. Robinson, Ph.D., Inc.
Century Square, Suite 2702, 1188 Bishop Street
Honolulu, Hawaii 96813

Phone: (808) 533-6133
Fax: (866) 780-9015

Intake Sheet

Please pause at this point and read the handout
 Frequently Asked Questions and Conditions of Evaluation and Treatment,
which is yours to keep for your records.

Then, please open and fill out the PDF Intake Sheet Intake Form (PDF)

Print the form, sign it, and return by fax, mail or email (scanned)



Return to main page