Provider Guidelines and Requisition Forms

New Ordering Resource Guides Available

To support our referring providers, we’ve added two new imaging ordering resource guides—one for Computed Tomography (CT) Scans and one for MRI (Magnetic Resonance Imaging). These guides are designed to assist with appropriate exam selection, required clinical indications, and preparation protocols to streamline the ordering process and ensure high-quality patient care.

Please refer to the guides below when submitting requisitions for CT or MRI exams.

Requisition forms can be sent via fax to (808) 322-4576. If you have any questions, our scheduling team is happy to assist at (808) 322-4490.
Requisition Forms: