For Physicians

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.

Referral Forms

Imaging Outpatient Testing Order

Download Form


OTO Lung Cancer Screening Form

Download Form


Pre-Authorization Preference Form

Download Form