This page is for patients who have recently started new medications and are experiencing unexpected or severe side effects that interfere with daily functioning.

During your visit, you were informed about common side effects, as well as serious or life-threatening symptoms that require immediate attention. If you are experiencing a side effect, please be specific in your message by including the 5 Ws (When it started, Where it is occurring, What the symptoms are, Why you’re concerned, and any other relevant details).

Please note that vague messages such as “I have a side effect, please call me” will not be sufficient for follow-up care.

If you are experiencing a potentially life-threatening reaction, please go to the nearest emergency room immediately.

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Name *

First

Last

Date of Birth *

mm/dd/yyyy

Medication Name / Formula /Dosage *

i.e. Bupropion XR 150mg 30days

Describe your current symptoms ( i.e nausea , vomiting , fever , rash etc) *

Please describe when it started ,how often ,how severe and how are you feeling.

When did it happen? *

Submit

Connect With Mind Plus

Contact Details

808-393-6566(Text/Call)

Email : info@himindplus.com

Virtual Hours

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SAT:

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(In-Person Visit Friday 8AM-6PM)