June 10, 2020


Aloha mai kakou e KOKO ‘ohana,

The last three months have brought to our Island winds of change that will forever leave a mark of uncertainty on our life memories.  Through this instability we as a lahui (community) can reflect on this experience and be proud of our sense of kuleana (responsibility) to each other as we responded to the crisis by respecting the safety protocols that were set in place for us by our state leaders.  The results of this respect are the testimony to why we all feel “Lucky we live Hawai’i”.  The number of people diagnosed with COVID-19 remain the lowest in the country, clear evidence of living Aloha.  Mahalo for your diligence.

The following are some clinic updates regarding KOKO’s response to COVID-19:

For patients complaining of possible COVID-19 symptoms and risk:  Symptoms can occur 2-14 days after exposure.  Before coming to clinic for testing you will receive a phone call to schedule a Telehealth visit from a KOKO provider to assess your symptoms.

  1. Patients complaining of the following: Cough and shortness of breath AND 2 of the following:

    1. Fever

    2. Chills

    3. Repeated shaking and chills

    4. Muscle pain

    5. Headache

    6. Sore throat

    7. New loss of sense of taste and smell

    8. Diarrhea, nausea +/or vomiting

  2. Patients who have traveled to an area with high amounts of COVID-19 in the last two weeks.

  3. Patients who have a known exposure/close contact to a person with laboratory confirmed infection of COVID-19.

* Close contact is defined as: 

a. being within approximately 6 feet of a COVID-19 case for a prolonged period of time; close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or room with a COVID-19 case

b. having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on)

Should your symptoms meet the criteria for testing you will receive directions from your provider regarding how to prepare for your COVID-19 in clinic testing.


For Patients concerned about getting exposed by coming into the clinic:

We are taking every measure we can to isolate any patients with upper respiratory infection symptoms.  We are having any patient with COVID-19 symptoms use our alternate waiting room and spare exam room that will be separated from the rest of the clinic with plastic sheeting to prevent airborne contamination.  Additionally, we are disinfecting the waiting room and exam rooms multiple times a day to reduce the spread of viral illnesses. 

  1. All patients will be required to wear a mask while in the clinic.  If you do not have one, we will provide one for you. 

  2. All patients who have active upper respiratory symptoms or COVID-19 symptoms will be asked to enter the clinic through the alternate entrance and wait in that waiting room.   

  3. The KOKO staff directly involved with the patient will wear full PPE to include mask, goggles, gloves, and gown while in contact with the patient.  

  4. The Medical Assistant will perform the intake and necessary testing per the Providerʻs direction.  The Provider will then evaluate the patient.  


We look forward to seeing you in clinic for your health care needs and continuing to navigate the quick changing winds of our new understanding of Ola (health).

Malama kekahi I kekahi,

Claren Kealoha-Beaudet, PsyD.

Executive Director – Clinical Psychologist

Five Mountains Hawaiʻi – Kīpuka o ke Ola (KOKO)

Update: March 30th, 2020

Aloha mai e KOKO ‘ohana,

As the day’s pass and we learn more about the struggles our families, schools, and communities are dealing with as a result of COVID 19 please know that our team is available to answer questions regarding the health and sustainability of your families.


Our Clinic continues to remain open during our normal business hours as we move through the latest CDC updates and requirements to keep our lāhui as safe and healthy as possible.   The following are some updates to help clarify questions or concerns:

  1. Should you experience a sore throat, cough, or fever please call our offices before you come in.  Our main office number is 808-885-5900. Please leave a message and we will call you back within 30 minutes. A provider will call you to help determine an appropriate time for you to come into the office, as well as enough time for our staff to be prepared for your visit.  All clients with respiratory symptoms will continue to be seen through the hallway entrance of our clinic.  Please follow the arrows from our front door to this separate hallway entrance.

  2. The Clinic continues to remain open to serve our clients for all other “non-sick” health concerns (examples: blood pressure, back-to-work notes, etc)

  3. If you feel like you need to be seen but have concerns regarding COVID 19 we will accommodate all request for telehealth appointments and guide you through the on-line and log-in process.  Co-payments for telehealth visits are being waived during this time.

  4. Should you be experiencing anxiety or fear regarding COVID 19 give our office a call so we can help to address your concern and assist in ways to cope with an extremely stressful period in all of our lives.


As we move through the motions of grocery stores, gas pumps and post office visits remember that we will one day return to the warm embraces of aloha and know in our hearts that the simplest of gestures convey the deepest of gratitude. 


Aloha a me ka ha’a ha’a,

Claren Kealoha-Beaudet, PsyD.

Executive Director – Clinical Psychologist

Five Mountains Hawaii – Kipuka o ke Ola

Update: March 17, 2020

Aloha mai kakou e KOKO ‘ohana,

He wa’a he moku, he moku he wa’a – A canoe is an Island, an Island is a canoe.  In this spirit of our ancestors let us put to practice connectedness and interdependency as we look to each other for the sustainability of the health of our lahui.  Together we will navigate this virus.

In that spirit we would like to address some changes in the check in and clinic protocol as a result of the confirmed case of COVID 19 on Moku o Keawe.   The medical team at KOKO have decided to implement this necessary process in the interest of keeping our KOKO ‘ohana as safe as possible.  In addition, this will provide complete separation from patients experiencing upper respiratory symptoms so you may feel safe during your normal medical and behavioral health visits.

In January of 2020 we opened a new suite of offices located in the connecting hallway of our current clinic space.  We have sealed these offices off from the main clinic to provide a secondary degree of safety for our clients.

If you are experiencing any upper respiratory symptoms and want to be examined or tested for the flu, strep or COVID 19 we ask that you please follow the directional signs located in the front of the clinic that will guide you to the hallway access of the clinic.  In this separated space we will provide you with the best care possible.  

If you would like to be examined or tested for any upper respiratory ailments by a medical professional in the parking lot in your vehicle, please call our offices at (808)885-5900 so that we can attend to this request.

Again, we are an island in the middle of the Pacific Ocean and together we will navigate this storm.

Malama kekahi I kekahi,


Claren Kealoha-Beaudet, PsyD.

Executive Director – Clinical Psychologist

Five Mountains Hawaii – Kipuka o ke Ola

Update: March 16, 2020

Aloha mai Kakou e KOKO ‘ohana,

We would like to provide an update for our patients regarding COVID-19 (Corona Virus).  The following information will be updated as the circumstances and conditions change regarding the response to this virus.  Above all else please know that our kuleana is to provide you, our lahui, with the best health care response possible.

Clinic cleanliness: KOKO has responded to virus control by initiating cleaning protocols that are in compliance with the Center for Disease Control or CDC.  Masks and hand sanitizer are placed in front of the clinic door for your protection.  There is also additional seating outside if that makes you feel more comfortable. These are sanitized throughout the day as well. Just come in to check in, and then you can sit inside or outside.

Telephone screening for COVID-19: If you have any questions regarding COVID 19 please leave a message at KOKO and we will call you back ASAP. Our KOKO clinic number is 885-5900. Patients who have experienced the following:  Fever, Cough and Shortness of breath or who have had contact with a person who has been confirmed with the virus please call clinic with your concerns.  

Testing:  If you feel that you may be at risk given travel exposure, known sick contact with someone positive for the Corona virus, or have fever or respiratory symtpoms but are hesitant to go out in public or come to the clinic, we are making available COVID-19, Influenza, and Strep testing in the first four parking spaces in front of the clinic. We can come out to your car to do the testing. Currently, we have a limited number of COVID 19 test kits, so unless you are presenting with the symptoms mentioned above, we will not be administering testing. Please call to make this kind of appointment.

Regularly scheduled appointments:  We are taking every measure we can to isolate any patients with upper respiratory infection symptoms.  We will do this by placing these patients in an exam room or alternate waiting room.  These patients will be required to wear a mask during their time in the clinic.  Additionally, we are disinfecting the waiting room and exam rooms multiple times a day to reduce the spread of viral illnesses.

Telehealth appointment option: During this time, if you would prefer to have a telehealth appointment  instead of a regular on-site Clinic visit for your health appointment or behavioral health appointment...please let us know and we will help set that up for you. Some appointments might not be able to be done this way, but many of them can. Weʻll try our best.

Above all else please know that our ALOHA is with you all.  We will malama each and everyone of our patients as we get through this virus together.

Malama kekahi i kekahi,


Claren Kealoha-Beaudet, PsyD.

Executive Director – Clinical Psychologist

Five Mountains Hawaii – Kipuka o ke Ola 

Phone: 808-885-5900

Address: 64-1035 Māmalahoa Hwy, Suite F, Kamuela, HI 96743

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