Online Appointments

We have two options for online care: HMSA Online or our own secure, HIPAA-compliant chat room for video visits throughout the Hawaiian Islands.

If you are an HMSA member, please login/create an account through the HMSA Online Portal to make an appointment and to start a chat:

For non-HMSA members with UHA or who are paying out of pocket, click on the link to the side/bottom of the page to make the appointment.  The link to the practice’s video chat room is:

You can also download the phone app for Doxy.Me and use the link above if you are not near a computer at the time of the appointment.

Please note the following:

  • We are able to see any patient physically present in the State of Hawaii at the time of the video visit.
  • We are NOT able to prescribe any controlled substances, including stimulants, benzodiazepines, Ambien and/or similar anti-anxiety/sleeping pills (due to Federal laws regarding those medications requiring in-person visits).
  • We can bill your insurance if it is one of the insurance plans we accept; otherwise, we will collect payment at the time of service.


Please note that Dr Gladding has moved to Big Island and is working for the VA M-F. She is available by appointment for consultations, mostly on Saturday mornings via telepsychiatry (online). Occasionally, other times can be arranged. Her practice is extremely limited such that she generally is not able to accept any long-term clients. She can provide consultations (1-3 sessions).

Please note that it may take 1-2 weeks to respond to new client inquiries and that space is extremely limited for consultations.

Please call 808-740-8425 for more information or to leave a message.