Click on the links below to download and save or print out
LTC Screening Forms and/or the LTC Referral Form.
*Upon completion, you can e-mail the forms to:
firstname.lastname@example.org or fax them to one of our offices (see list to the left).
Waikoloa Highlands Center
68-1845 Waikoloa Road, 224B
Waikoloa, HI 96738
Tel: (808) 883-0922
Fax: (808) 883-1022
400 Hualani Street, Bldg. 10, Suite 195B
Hilo, HI 96720
Tel: (808) 969-9292
Fax: (808) 969-7337
76-6225 Kuakini Highway, Suite B105
Kailua-Kona, HI 96740
Tel: (808) 331-1175
Fax: (808) 327-1809
45-3544 Mamane Street
Honoka'a, HI 96727
Tel: (808) 775-7707
Fax: (808) 775-8009
Pahoa Village Center
15-2866 Pahoa Village Road, Bldg. E, Suite 3
Pahoa, HI 96778
Tel: (808) 965-5535
Fax: (808) 965-5536
Monday - Friday
8:00 a.m. - 4:30 p.m.
*We observe federal holidays*
*Some offices are open after 4:30 p.m. or on a weekend to accommodate
group sessions held outside of regular business hours.
Please fill out the form below.
All fields are required to successfully submit your e-mail to us. Your e-mail will not reach us if you leave any fields blank.
*Note: "Email:" field is for your e-mail address
" E KOMO MAI, NOU KA HALE "
THIS HOUSE IS YOURS
LTC provides services island-wide with six (6) office locations throughout Hawaii Island.
See below for a complete list of all of our locations.
Established in 2001 | Lokahi Treatment Centers (LTC) is a 501 (c) (3) non-profit organization with services available throughout Hawai'i Island.
Content Copyright 2018. All Rights Reserved. | Lokahi Treatment Centers
Notice: Lokahi Treatment Centers (LTC) is not responsible for harm or loss that results from use of the site.
68-1845 Waikoloa Road, Waikoloa, HI 96738 | (808) 883-0922
(Mailing Address) P.O. Box 383401, Waikoloa, HI 96738