To reserve a Lifestyle Change Program or a Supervised Fast, please take the following steps:

Step 1: Assessment

  • Fill Out The Questionnaires In Your Online Profile

    Complete the short questionnaire below and complete your basic data. You will receive an e-mail notification from our office after we have created an Electronic Profile for you. You will then have the Medical Questionnaire, Personal Essay, and Food Diary forms waiting for you to complete and submit directly online. See notes on what is required for food diary and essay below.

    Lifestyle Change Program: Request Form for Electronic Health Records

    Our preference for patients to submit their questionnaire, medical records, essay and other info is through our Electronic Health Records system, called CHARM EHR. This is the most secure and we encourage patients to take this option. Start by completing this short questionnaire below. After submitting this form we will create a profile for you on Charm EHR and you will receive an e-mail that invites you to the web based portal. You will then notice when you log in after receiving the e-mail invite that a Medical Questionnaire, Essay and Food Diary and any other appropriate forms are waiting for you to complete directly online on your personal patient record.
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  • Write An Essay

    Write an essay about the problems or health issues you would like to address during your stay. Please mention all events that preceded the onset of the problems. Include any emotional or mental issues. Describe your stress level, the nature of the stress and how you deal with it. Review any sexual, familial, professional and social issues. Write about your relationship to food. Write about what you would like to accomplish with your life or in your life. YOU CAN COPY AND PASTE YOUR ESSAY DIRECTLY INTO YOUR ELECTRONIC CHART once you have your online profile.

  • Keep A Food Diary

    Keep track of what you eat and drink for the next 3 or 4 days. This food and drink diary needs to include all the following information: Where the food is eaten, hours when it is eaten, state of mind while eating, quantities, hunger and satiety issues, quality of the food (organic, canned, processed, unknown), cooked (method) raw, oils used. Nature of salad dressing used. Mention how often do you eat in a restaurant and what type of restaurant. You will complete this info directly in your online chart.

  • Submit Your Info and Schedule an Assessment

    Once you completed your documents online. Call us and pay the assessment fee of $300.

    Mailing address: Hawaii Naturopathic Retreat Center , attn: Patient Services, 239 Haili St., Hilo, HI 96720.

    Email: 

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    Medical Records Fax: 1-844-965-9821

    Assessment Fee: $300

    Phone: 808-933-4400 to schedule your assessment.

    For the assessment fee we accept personal credit cards over the phone (call 808-933-4400), cashiers checks, international money order or money wires.

    The assessment fee is non-refundable. It covers an evaluation and assessment of your health issue, consultation and recommended treatment plan/program with a prepared estimate for your proposed program/treatment. It covers emails and phone calls for preparatory work at home. It also includes a physical exam at your arrival and departure and post treatment recommendations.

  • Privacy Notice

    Hawaii Naturopathic Retreat Center is HIPAA compliant. Read or download our Privacy Notice.

    HIPAA Notice

Step 2: Reservation

  • You will receive

    • An evaluation and assessment of your case
    • A consultation
    • Recommended treatment plan/program
    • Prepared estimate for your proposed program and treatment

  • Pay 50% to reserve program

    When you decide to go ahead with the proposed program and treatment plan, you are required to pay 50% of your estimate to reserve your program. We accept cash, cashiers checks or wire transfers for the first 50% of the payment.

    Please mail cashiers checks to: Hawaii Naturopathic Retreat Center, attn: Patient Services, 239 Haili St., Hilo, HI 96720.

  • Coordinate Travel and Arrival Dates

    At this point you have reserved your program and can coordinate with our office for arrival dates and working out traveling details.

    Traveling to Hawaii Naturopathic

Step 3: Arrival

  • Pay the Balance of Your Program

    Upon arrival the balance of your program cost will be due.

    We accept credit cards or cash for payment upon arrival as well as cashiers checks. Customers outside of the U.S should wire their payment to Hawaii Naturopathic Retreat Center account prior to their arrival.

    Upon arrival we will also need to keep credit card information on file for additional services or treatments that you may order.

  • Third Party Payments

    In the case of a friend or relative paying for your program by credit card, it is necessary that your benefactor sign the Third Party Credit Card Payment Form and fax it back to us at 844-965-9821. It can also be e-mailed by attaching it to the form below.

    Third Party Credit Card Payment Form

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    Cancellation and Refund Policy

    Please read the cancellation policy carefully. We adhere to it at all times. It is important that you are committed to the program and our policy is formulated to help patients stay the course.

    Cancellation Before Arrival Date

    Once your 50% deposit has been made, you may change the date of arrival before 30 days of the start date with no additional charge. Notify us and your deposit may be used up to 6 months from the date of purchase.

    Cancellations or changes to date of arrival made within 30 days before the check-in date will incur a $400 cancellation/rescheduling fee. One rescheduled visit is allowed.

    No refunds for cancellations made within 7 days of the check-in date.

    Cancellation After Arrival

    If cancellation is made after check-in, there will be no refund without a medical emergency. In case of a medical emergency, a credit for the unused portion of the stay will be issued toward a future stay within 6 months.

    Sessions, Procedures, Ecotherapy Trips

    In the case of booking tours and trips while at the retreat a 24-hour notice is required for cancellation of tours and trips to receive a full refund. When arrangements has been made with therapists and practitioners for sessions and procedures a 24-hour cancellation notice is also required to keep the session credit on your account.

    When patients start detoxification and/or lifestyle change programs with, we strongly encourage patients to complete the process. It is natural for the detoxification and healing process to be unsettling and uncomfortable. It is important to us to see patients through this. When people leave in the middle of the process the consequences can be detrimental to their health, both psychologically and physically. We find that resistance to change is strongest in the first few days. Our refund policy is intended to support your transition to health.

    Payment Policy

    We accept cash, cashiers checks, bank drafts or wire transfers for the first part of the payment and credit card, cashiers checks or cash for the second portion of the payment. Additional therapies and treatments, trips and other expenses will be billed at the end of the stay. Customers outside of the U.S. should wire the entire amount to Hawaii Naturopathic Retreat Center account prior to their arrival. Cashiers checks may be made out to Hawaii Naturopathic Retreat Center. We do not accept personal checks.

    Credit Cards Payments

    If you pay with credit card for the first 50% to reserve a program, additional paperwork will need to be completed and the original credit card will need to be presented on arrival.

    Third Party Payments

    Oftentimes third parties and family members wish to sponsor patients. In these cases additional paperwork with the third party is completed for authorization of telephone credit card charges and consent to financial responsibility.