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

Our Quick Stroke Reference Guide for Primary Care Providers is a useful guide to help you manage your stroke and transient ischemic attack (TIA) patients. It is designed to make it easy for you to ensure you are providing the appropriate care for your patients who have suffered a cerebrovascular ischemic event, and to feel confident that your care is up to date with current guidelines and recommendations.

The guide will also help you know when a referral to a stroke neurologist is recommended, as stroke management is rapidly changing and has become increasingly complex. While primary care providers are the backbone of stroke prevention, there are specific situations where patients may need a stroke neurologist to offer recommendations on more complicated issues, such as carotid surgery, PFO closure, difficult anti-thrombotic decisions among others.

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

Referral Forms

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

To Make a Referral

Call us at 808-691-3135 for any additional questions.

1. Complete our referral form:
   • Download Neuroscience Clinic Form
   • Download Neurodiagnostics Referral Form
2. Attach supporting patient notes
3. Fax all documents to 808-691-3347

If imaging was performed outside of Queen’s, please have any images specific to the issue sent to the Neuroscience Clinic at Queen’s – West O‘ahu prior to appointment, or have the patient bring them on a CD at the time of consultation.

Our Quick Stroke Reference Guide for Primary Care Providers is a useful guide to help you manage your stroke and transient ischemic attack (TIA) patients. It is designed to make it easy for you to ensure you are providing the appropriate care for your patients who have suffered a cerebrovascular ischemic event, and to feel confident that your care is up to date with current guidelines and recommendations.

The guide will also help you know when a referral to a stroke neurologist is recommended, as stroke management is rapidly changing and has become increasingly complex. While primary care providers are the backbone of stroke prevention, there are specific situations where patients may need a stroke neurologist to offer recommendations on more complicated issues, such as carotid surgery, PFO closure, and difficult anti-thrombotic decisions among others.