Dear Referring Doctors and Providers,

HI Pain is happy to work in conjunction with you in order to obtain the best possible results for your patient's pain symptoms…

It is our goal to schedule your patients in timely fashion and provide you with a comprehensive report on their progress. Your patients will be cared for by a fellowship-trained, board certified pain specialist so that you can be rest assured that they are under excellent care.

To Refer Patients

Please complete and print New Patient Referral Form below and fax to: (808) 200-3785.
For all patients, please attach any pertinent medical records including medication list, imaging reports and insurance authorization with your fax.
For Tricare, VA, WC and MDX HMO patients, please attach completed authorization.

New Patient Referral Form

Mahalo for your kind referral!

Locations

HI Pain East Oahu
1401 South Beretania St., Suite 400
Honolulu, HI 96814

HI Pain West Oahu
94-216 Farrington Hwy., Suite A102
Waipahu, HI 96797

HI Pain Maui
39 West Kamehameha Ave.
Kahului, HI 96732

We’re here to help. Contact Us.

For emergencies, please call 911 or go to your nearest emergency room.

By Phone

(808) 206-5301

By Fax

(808) 200-3785

Via Email

info@hipain.com

Disclaimer: Email is for general queries only. No specific medical or clinical questions will be entertained as these emails are not reviewed by a medical provider. Please schedule an appointment to speak with one of our medical providers about your medical or clinical questions or concerns.

For Doctors