Referral Forms

Thank you for your referral to the Queen’s Neuroscience Institute at The Queen’s Medical Center. We look forward to providing the best neurological care for your patients.

To Make a Referral

Neuroscience Institute Outpatient Center
Please contact us at 808-691-8866 with any questions.

1. Complete our referral form:
   • Download Referral Form
2. Attach supporting patient notes
3. Fax all documents to 808-691-8865

Neurodiagnostics
Please contact us at 808-691-4218 with any questions. 

1. Complete our referral form:
   • Download Referral Form
2. Attach supporting patient notes
3. Fax all documents to 808-691-7025