For Physicians

How to Refer a Patient to the Queen’s Heart Institute

We truly appreciate your confidence in referring your patients to our care. We want to ensure a warm, seamless handoff as well as necessary follow-up and open communication. With your assistance, our cardiovascular specialists want to ensure your patients receive the highest quality and most compassionate care available. Our team stands ready to confer on available treatments and explore ways to reduce chronic conditions.

Referral Instructions

For outside providers

  1. Please download or print our Queen’s Heart Referral form
    Download Referral Form
  2. Send completed form along with requested medical documentation outlined on form to our fax line or email.
  3. Please call (808) 691-8900 if you have additional questions or concerns with how to submit a referral.

For internal referrals

  • Referrals to the Queen’s Heart Institute can be ordered through CareLink (EPIC)
    • Via order entry, select “Referral to cardiology”
    • Please select internal referral and the department you would like to refer to. (E.g. Queen’s Heart Physician Practice for General Cardiology, location QMC punchbowl)
    • If you have a preferred provider in mind, please indicate in the referral order
    • Please state an indication for referral.
  • Our office will contact you if any additional documentation is needed outside of CareLink (EPIC) records.

For patient-self referrals

Please have the medical professional overseeing your care submit a referral request.

Download Referral Form

If you refer to Queen’s Heart Institute, you can expect:

  • Upon receipt of your referral, your patient can expect to hear from our team within 5 business days.
  • If your patient has not heard from Queen’s Heart Institute within a week, please recommend the patient contact us at one of the telephone numbers below:

Queen’s Heart Institute - Aiea
Phone: 808-486-6116

Queen’s Heart Institute at The Queen’s Medical Center (Punchbowl)
General Cardiology/Adult Congenital Heart Disease

Phone: 808-691-8900

Queen’s Heart Institute at The Queen’s Medical Center (Punchbowl)
Advanced Heart Failure/Electrophysiology

Phone: 808-691-8512

Queen’s Heart Institute at The Queen’s Medical Center (Punchbowl)
Cardiovascular Interventional Surgical Services (CVISS)

Phone: 808-691-8808

Queen’s Heart Institute - West Oahu
General Cardiology

Phone: 808-691-3340

  • We will update your office if any additional information is required to complete the referral process.
  • We will follow-up with your office after the patient’s first appointment. We will include a summary of the visit and consultation notes.

Fax records or mail patient records to our office.

Queen’s Heart Physician Practice 
550 South Beretania Street, Suite 601 
Honolulu, HI 96813

Secure Fax: 808-691-8935

Center for Interventional Cardiology and Cardiac Surgery

We are currently accepting new referrals for the following:

Aortic Valve Disease

  • Aortic Regurgitation/Insufficiency
  • Aortic stenosis (Transcatheter Aortic Valve Replacement-TAVR, Balloon Aortic Valvuloplasty-BAV)
  • Surgical Aortic Valve Replacement (SAVR)

Coronary Artery Disease

  • Percutaneuous Coronary Intervention (PCI)
  • Chronic Total Occlusion (CTO)
  • Cardiac Artery Bypass Grafting (CABG)

Mitral Valve Disease

  • Mitral regurgitation/insufficiency (Transcatheter Mitral Valve Repair (TMVR)- MitraClip Procedure)
  • Mitral stenosis (Balloon Mitral Valvuloplasty-BMV)


Structural Heart Diseases

  • Patent Foramen Ovale (PFO)
  • Atrial Septal Defect (ASD)
  • Perivalvular Leak
  • Left Atrial Appendage Occlusion

Thoracic Disease

  • Aortic Aneurysms/Aortic Dissections
  • Thoracic Endovascular Aortic Repair (TEVAR/EVAR) 







How to Schedule a Non-Invasive Test

To schedule your patient for testing at Queen's Heart at The Queen's Medical Center, please complete our Outpatient Testing Order form and fax it to 808-691-4077.

Download Form

Queen’s Heart offers the following testing for your patient care needs: