If you are considering in-home care for yourself or a loved one, you can start the process today by completing our Information Sheet for Personal Care Clients.

How to Request Care

Download the Information Sheet — Information Sheet for Personal Care Client (PDF)
Complete the form with the client’s contact, medical, and caregiver information, and list the services you are requesting.
Submit by mail, email, or in person:
- Mail / In Person: 1314 South King Street, Suite 622, Honolulu, HI 96814
- Email: info@itnhawaii.com
- Fax: 808-791-5839

Prefer to talk it through first? Call us at 808-791-5825, Monday – Friday, 8 am – 5 pm, and a coordinator will walk you through the form over the phone.

What Happens Next

Once we receive your Information Sheet, a coordinator will contact you to continue the process — including the medical records authorization, an in-home care assessment, and matching you with the right caregiver. See How to Get Started for the full step-by-step process.

Contact Us

Tel: 808-791-5825 | Email: info@itnhawaii.com Hours: Monday – Friday, 8 am – 5 pm