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Galler Rimm Behavioral Health Services
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Forms

ROI/Consent to release information

If you would like us to coordinate care with another provider (for example, your current mental health provider, primary care physician, etc.), complete this form to authorize release of psychotherapy information:


Authorization to Disclose/Release Patient Information

Forms for Parents

Useful forms to help serve the parents and caregivers of Maui’s youth and young adults.


Teacher Questionnaires


Medications Form DOE

Maui, Hawaii Office Location

1043 Makawao Ave, Suite 201
Makawao, HI 96768

Office: (808) 572-4500
Fax: (808) 442-1050
grbhoffice@gallerrimm.com

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