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Referrals

Welcome to the East Hawaii Health Referrals page. Below are referral instructions by specialty.

Please complete and return the New Patient Referral Form along with all supplemental materials. Diagnosis-specific requirements can be found in the New Patient Referral Guidelines.

Audiology Referrals

New Patient Referral Form

Orthopedic Referrals

New Patient Referral Form

New Patient Referral Guidelines

No Fault, MVA and Workers Compensation Tool & Treatment Plan

Cardiology Referrals

New Patient Referral Form

New Patient Referral Guidelines

Cardiology Findings Requiring Follow Up

Note: HMC patient records are not required along with your new patient referral form

Neurology Referrals

New Patient Referral Form

New Patient Referral Guidelines

ENT Referrals

New Patient Referral Form

New Patient Referral Guidelines

Oncology Referrals

New Patient Referral Form

New Patient Referral Guidelines

EHHC New Patient Consult Limitations

EHHCC Limit Intake Consults

General Surgery Referrals

New Patient Referral Form

New Patient Referral Guidelines

No Fault, MVA and Workers Compensation Tool & Treatment Plan

Plastic Surgery Referrals

New Patient Referral Form

Interventional Radiology Referrals

IR New Patient Referral Form

IR Consult & Procedure Requirements

Authorization for Release of Images

Imaging Requisition

Communication Directory

Pulmonology Referrals

New Patient Referral Form

New Patient Referral Guidelines

Respiratory Therapy Order Form

 

OB/GYN Referrals

New Patient Referral Form

New Patient Referral Guidelines

Urology Referrals

New Patient Referral Form

New Patient Referral Guidelines

Vascular Referrals

New Patient Referral Form

New Patient Referral Guidelines

No Fault, MVA and Workers Compensation Tool & Treatment Plan