Contact us
CPAP/BiPAP Referrals:
CPAP/BiPAP Referrals:
Please use this referral CHECKLIST as a fax cover sheet, and our staff will address it immediately.
If we receive all of the documents required by your patient's insurer, we will expedite the order.
You can also use this as an order form or send your own form or prescription
If we do not receive all documents required by insurers, there will be delays in processing
PIM Referral Checklist and Order Form.pdfPIM Referral Checklist and Order Form.pdfPAP Referral forms: click corner above for Referral Checklist / Order Form
Pacific Island Medical, Inc
156 B Hamakua Drive, Kailua, HI 96734
Office hours: Monday - Friday 8:00am - 4:30pm
Phone: (808) 261-8885
Fax: (808) 261-8896
To check balance or pay a bill, use our SECURE PAYMENT PORTAL: payments.nextdme.com/
To check balance or pay a bill, use our SECURE PAYMENT PORTAL: payments.nextdme.com/
