FOR DISCHARGE PLANNERS, CASE MANAGERS, SOCIAL WORKERS, & PROVIDERS
Refer a Patient
Whether your patient needs a primary care doctor, care brought into their home, or fast follow-up after a hospital stay, we make the referral easy and we close the loop with you. One team, three ways in, one point of contact.
WHO TO REFER
One referral, the right program.
Not sure which fits? Send it anyway. Weʻll match your patient to the right program, and itʻs easy to move between them as needs change.
PRIMARY CARE CLINIC
Refer when your patient:
Needs a primary care doctor or has no current PCP
Is stable but wants proactive, unhurried, preventive care
Could use added support and lifestyle changes for a chronic condition, such as diabetes, hypertension, weight, or sleep
COMPLEX CARE CLINIC
Refer when your patient:
Manages several chronic conditions and struggles to get to a clinic
Is homebound or has mobility or transportation barriers
Needs care brought into the home, including nursing and caregiver teaching
Traditional Medicare & Select UHA Patients
HOW TO REFER
Three ways, whichever is fastest for you.
PHONE (FASTEST)
808.452.0332
Ask for care coordinator.
FAX
808.490.0836
Send us what you have.
WHAT TO SEND
The patient’s name and a callback number
Insurance information
Any records you already have, such as a discharge summary, medication list, or face sheet
What happens after you refer
We reach out to the patient or their family within 2 business days and get them scheduled. When clinically appropriate, the first visit can be telehealth, which helps patients without transportation.
Every referral gets a disposition back to you: scheduled, seen, or unable to reach.