Patient Forms
Thank you for selecting UpCountry Cardiology with Dr. Markarian for your cardiovascular care. To schedule an appointment, please call us at (808) 793-5440.
Once you have made your initial appointment, you may preregister online by completing the forms below. You may download and print the forms, fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.
Interactive Forms:
Downloadable Forms:
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.