Becoming a Patient

Please follow these simple steps to become a new patient at North Hawaii Community Hospital Rehabilitation Services:

  • To assure reimbursement, please obtain a referral from your physician before calling to schedule therapy.

Referral Forms

Pre-Evaluation Questionnaire

Download Form


Outpatient Referral Form

Download Form


If your insurance requires pre-authorization before you are seen by a therapist, we will take care of that requirement for you.