For Health Care Providers

Thank you for your referral to the Queen’s Neuroscience Institute. We look forward to providing the best neurological care to your patients.

Please complete the necessary form and attach supporting patient notes.

The Queen's Medical Center Neuroscience Institute Referral Form
Download Form

The Queen's Medical Center—West Oahu Neuroscience Institute Referral Form
Download Form


For patients being referred to Drs. Laura Miller, Sung Bae Lee, Victoria Wong or Alan Stein:

Please have any images specific to the brain sent to Queen’s prior to appointment or brought on a CD-ROM at the time of consultation, if Imaging was performed outside of Queen’s.

Please contact the Neuroscience Institute Outpatient Center at 808-691-8866 with any questions.