Appointment Request


To schedule an individual, children, couples, marriage or family therapy appointment or to obtain additional information about any of these counseling services, please fill out the form below or give one of our providers a call directly.

Providers can be reached by calling our main line:  808.377.4300 and entering their extension when the recording comes on.

Dr. Robert Jackson -

Dr. Janna Madeira -

Dr. Andrew Gold -

Please be sure to give the provider the following information:

  1. Name and contact number
  2. Name of your insurance carrier
  3. Issue(s) you need assistance with
  4. Days and times you can come in

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.

By clicking send you agree that the phone number you provided may be used to contact you (including autodialed or pre-recorded calls). Consent is not a condition of purchase.