Imaging Outpatient Testing Form
The Queen’s Medical Center
1301 Punchbowl Street
Honolulu, Hawaii 96813
Thank you for choosing Queen’s Imaging at The Queen’s Medical Center for the care of your patient.
For outpatient services, please submit electronic orders or fill out and fax the form below to 808-691-7007.
You may also work directly with our Patient Service Coordinators who are specialized in scheduling for specific modalities by calling 808-691-7171.
For your patient’s convenience, X-rays do not require an appointment. Once your order has been placed for this procedure, your patient can walk into any of our imaging centers during business hours without an appointment. For the quickest outpatient service, our locations at Physicians Office Buildings 2 and 3 offer convenient parking adjacent to the building and short wait times.
Imaging Outpatient Testing Form
OTO Lung Cancer Screening Form
Women’s Health Center OB Ultrasound Services
Coronary CTA Referral Form
Pre-Authorization Preference Form
The Queen’s Health Systems
1301 Punchbowl Street
Honolulu, Hawaii 96813
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