Joseph R. McKinlay, MD
Dermatology and Skin Surgery - Honolulu, Hawaii
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Bishop Square
1003 Bishop Street
Pauahi Tower
Suite 380
Honolulu, Hawaii 96813
Phone:
(808) 528-1717
Fax: (808) 528-1719
Appointment Request Form
Please call our office at (808) 528-1717 to make an appointment or utilize the form below to request an appointment with Dr. McKinlay:
Patient’s Name:
Email Address:
Date of Birth:
Have you been seen in our office before?
Yes
No
What is the primary reason for this visit?
Acne
Eczema
Psoriasis
Skin Tags
Aging Skin
Growths
Rash
Stretch Marks
Allergic Reaction
Hair Loss
Redness
Sun Damage
Birthmark
Infection
Rosacea
Warts
Cellulite
Moles/Nevi
Scarring
Wrinkles
Dark Spots
Nail Problems
Skin Cancer
Other
Our office we will need to contact you to verify insurance information, address/phone number and appointment availability.
What is the best phone number to reach you at?
Our office is open Monday - Thursday 8:30 AM - 5:30 PM and Friday 8:30 AM – 12:30 PM. We are also open two Saturdays per month 8:00 AM - 2:00 PM. We will do our best to accommodate your desired appointment time. Fridays are often used as administrative days and if the choice is not available below then that means a Friday appointment is not available.
The appointment request for:
This Week
Next Week
Three Weeks
Appointment Time Desired (Please Select 2 or 3 Preferred Times Below):
MON AM
TUE AM
WED AM
THU AM
SAT
MON PM
TUE PM
WED PM
THU PM