Patient Info / Forms

Welcome to Mana Physical Therapy

We are here to help you enjoy your life, pain-free! To make a convenient appointment, simply call us today in Kamuela (808) 885-7131 or Waikoloa (808) 883-3400. Our practice is dedicated to helping our patients identify the cause of their pain and creating a custom treatment program that will allow them to return to normal activities pain-free.

Patient Forms

At Mana Physical Therapy, we want to maximize your time with us. Prior to your first visit, please click the form links below to download. Then print and fill out the forms that apply to you, and bring them with you to your first visit along with your insurance information and photo ID.

Before Your First Visit

  • Make a list of questions that you have to discuss on your first visit.
  • List signs and symptoms that can be of importance to the therapist.
  • Have in writing key past medical history, previous treatments, current medications, and other important information.
  • Please call our office to verify your insurance benefits.
  • Arrive 15 minutes early for your first appointment.
  • Bring with you a copy of your insurance card and a photo ID.

What to Expect on Your First Visit

  • You will register with our friendly front office staff. They will help you navigate the insurance process and treatment program so you can focus on your recovery.
  • You will meet with your physical therapist for the initial evaluation.
  • During the evaluation your therapist will ask questions about your medical history, current pain, or injury. Open communication helps us understand your problem.
  • Your movement, strength, coordination, and much more will be evaluated. Our purpose is to help you, so please ensure you communicate to your therapist if anything is hurting or bothering you during the examination.
  • Your therapist will recommend and prepare a course of treatments to ensure the quickest recovery and the best results. Your therapist will discuss the recommendations with you.
  • There will be some treatments performed the first day to get you started on your road to recovery. However, during the next visit you will get into the full swing of your treatment plan.
  • You will schedule your series of visits with the front desk. The amount of therapy needed will be discussed with you, depending on the recommendations of your therapist. We offer many convenient appointment times, however prime times can become busy, so it is best to book ahead as much as possible.
  • Your therapist will write up their findings and treatment plan to submit to your referring physician or other medical professional who you choose.
  • If you have any questions at anytime, please don’t hesitate to call. We want to ensure your satisfaction and full recovery.
  • If you are financially responsible for your visits, stop at the front desk before leaving.

Patient Attire

Physical Therapy – wear or bring shorts or warm up pants, a loose fitting shirt, and foot attire safe for exercising (preferably tennis shoes).

Pool Therapy – bring bathing suit, towel and soap for showering

Orthotics – wear shorts and shoes appropriate for shoe inserts (not slippers).  Shoes cannot be old/broken down.  Bring shoe inserts if you have them.

Patients exercising in the gym – you will be exercising with others, so please dress accordingly, and good hygiene is appreciated.

Please notify our staff if you contract any infectious/contagious illness or open wounds, so precautions can be taken to protect you, other patients, and the staff.



Mana Physical Therapy is not responsible for watching children who accompany the patient to therapy.  If your child under the age of 9 must accompany you to therapy, please provide supervision by another adult.  The presence of children can interfere with treatment or pose a safety problem to themselves or others.


Health Insurance

We gladly accept most insurance plans. Please call us to verify your insurance as we are always adding new insurance plans.

As a courtesy to our patients, we will verify your health benefits prior to your arrival to determine if there will be a copay, deductible, or coinsurance for therapy services. For those patients who do not have health insurance or those who have maxed out their benefits, we offer a private pay plan.  Please contact us today for more information on our fees for service and payment details.

Discover the solution to pain-free living. Sign up now to start receiving our monthly health tips. Many of our patients have already signed up.