• Skip to primary navigation
  • Skip to main content
  • Skip to footer

Maunalani Nursing & Rehab Center

Climbing the heights for you...

Email: info@maunalani.org
Phone: (808) 732-0771
  • Home
  • About Us
    • About Maunalani
    • Mission, Vision, & Values
    • The Maunalani Experience
    • Employment Opportunities
    • Employment Application
    • Friends of Maunalani
  • Services
    • Services Overview
    • Rehabilitation Services
    • Skilled Nursing
    • Clinical Care
    • Hospice Palliative Care
  • Amenities
    • Calendar
    • Available Amenities
    • Recreational Activities
    • Dining
    • Menus
    • Events
  • Admissions
    • Admissions Details
    • FAQs
  • What’s New…
  • Contact
  • CoronaVirus Updates
You are here: Home / Intake Forms / Intake Forms- Additional Services

Intake Forms- Additional Services

July 18, 2011 By Maunalani Staff

    Select 'A' OR 'B'
    Select 'A' or 'B'
    Select 'A' OR 'B'
  • Additionally, when hair salon services are scheduled by the charge nurse, I assume fidl responsibility for payment of such services.
  • PHOTO RELEASE

    I authorize Maunalani Nursing Center to use my photograph(s) and/or name for only those purposes indicated below my initials.

    Any other use of my photograph(s) and/or name is forbidden unless I express my consent at the time the photograph is taken. This consent will end on the date of my discharge.

  • Reset signature Signature locked. Reset to sign again
  • Reset signature Signature locked. Reset to sign again
  • MM slash DD slash YYYY

Share this:

  • Facebook
  • Twitter
  • LinkedIn

Filed Under: Intake Forms Tagged With: Intake Forms

Footer

Maunalani Nursing and Rehabilitation Center

5113 Maunalani Circle
Honolulu, HI 96816
Phone: (808) 732-0771
Email: info@maunalani.org

Copyright © 2023 · Handcrafted by HawaiiWP.com LLC · Log in