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Referrals

Welcome to the East Hawaii Health Referrals page. Below are referral instructions by specialty, or you can access our EHH Referrals Guide, which includes provider and service information, demographics, and referral checklists for all of our outpatient specialty services.

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.

If you have any referral questions, please contact the clinic directly during normal business hours. If you are unable to reach our clinic, please contact our Provider Outreach Specialist at (808) 640-2172 or EHHProviderOutreach@hhsc.org

Audiology Referrals

Contact: (808) 932-3047

Fax: (808) 974-6732

New Patient Referral Form

Orthopedic Referrals

Contact: (808) 932-3730

Fax: (808) 961-9504

New Patient Referral Form

New Patient Referral Guidelines

No Fault, MVA and Workers Compensation Tool & Treatment Plan

Cardiology Referrals

Contact: (808) 932-3730

Fax: (808) 974-6797

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

Contact: (808) 932-3730

Fax: (808) 935-7752

New Patient Referral Form

New Patient Referral Guidelines

Dermatology Referrals

Contact: (808) 932-3740

Fax: (808) 932-3741

New Patient Referral Form

New Patient Referral Guidelines

Oncology Referrals

Contact Radiation Oncology: (808) 932-3755

Fax Radiation Oncology: (808) 932-3756

Contact Medical Oncology: (808) 932-3590

Fax Medical Oncology: (808) 974-6864

New Patient Referral Form

New Patient Referral Guidelines

ENT Referrals

Contact: (808) 932-3730

Fax: (808) 933-3801

New Patient Referral Form

New Patient Referral Guidelines

Outpatient Rehabilitation Services & Physical Therapy

Contact: (808)-932-3045

Fax: (808) 974-6732

Referral Information: Due to high referral volume, we are currently only accepting internal referrals from East Hawaii Health Clinics. We will update this page when we are able to accept external referrals. Thank you for your patience.

General Surgery Referrals

Contact: (808) 932-3730

Fax: (808) 935-0904

New Patient Referral Form

New Patient Referral Guidelines

No Fault, MVA and Workers Compensation Tool & Treatment Plan

Plastic Surgery Referrals

Contact: (808) 932-3722

Fax: (808) 932-3729

New Patient Referral Form

New Patient Referral Guidelines

Gastroenterology Referrals

Contact: (808) 932-3730

Fax: (808) 932-3615

New Patient Referral Form

New Patient Referral Guidelines

Pulmonology Referrals

Contact: (808) 932-3860

Fax: (808) 932-3865

New Patient Referral Form

New Patient Referral Guidelines

Respiratory Therapy Order Form

 

Interventional Radiology Referrals

Contact: (808) 932-3665

Fax: (808) 932-3943

New Patient Referral Form

New Patient Referral Guidelines

Authorization for Release of Images

Imaging Requisition

Communication Directory

Urology Referrals

Contact: (808) 932-3730

Fax: (808) 969-1020

New Patient Referral Form

New Patient Referral Guidelines

Referral Information: As of August 2023, we are currently experiencing an unprecedented number of new referrals. This number has created a wait time of up to 6 months or more for new non-emergent referrals. Because of this, we ask that you review the document:
“EHHC Urology_Approved Referral Dx_Aug 2023”.

OB/GYN Referrals

Contact: (808) 932-3730

Fax: (808) 933-0011

New Patient Referral Form

New Patient Referral Guidelines

Vascular Referrals

Contact: (808) 932-3730

Fax: (808) 932-3735

New Patient Referral Form

New Patient Referral Guidelines

No Fault, MVA and Workers Compensation Tool & Treatment Plan