Get Back to the Things You Love.
Patient Resources

Live is too short and precious to struggle with physical pain and limitations. You deserve to participate in your life; not sit on the sidelines. We help you find out what’s causing the problem and help you fix it, so you can get back to doing what you love— the things you were made to do.

New Patient Forms

Please Call Us If You Are a New Patient

Medical History Questionnaire

Women's Health

Pelvic Floor Distress Inventory - Short
Pelvic Floor


Lymphedema Life Impact Scale v.2

Additional Forms

(Optional) Download, Print, and Return the Following Forms if Necessary.

Ability Assessment
Quick Dash
Lower Back Pain
Modified Oswestry Low Back Pain Disability Questionnaire
Lower Extremity Function
Lower Extremity Functional Index
Upper Extremity Function
Upper Extremity Functional Index

Frequently Asked Questions

For any additional questions or resources please contact the front office. We are here to help.

Contact Us
Call Us
We accept almost every widely used insurance in the State of Hawaii along with many plans that are based out of state. These insurances include but are not limited to HMSA, Medicare, Kaiser, UHA, HMAA, Workers Compensation, and No-Fault (automobile) insurance. Please contact us if you have any questions on insurance coverage to start your physical therapy journey!
Begin your journey to full life TodayCall us to schedule a consultation.
Club Rehab, Inc.

Kailua Kona Clinic

75-5699 Kopiko St.
Kailua-Kona, HI 96740
(808) 329-7744
(808) 334-1608

Club Rehab, Inc.

Kainaliu Clinic & Fitness Center

79-7422 Hawaii Belt Rd.
Kealakekua, HI 96750
(808) 322-8400
(808) 322-5167