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Tripler Guide 2015
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< Back to Specialty Clinic Referral Guidelines listing

Specialty Clinic Referral Guidelines - Neurosurgery Clinic

Specializing in brain and nervous system disorders with a potential for surgical intervention

  • Contact: MAJ Robert P. Bejnarowicz, M.D., USA, Chief
    Clinic: (808) 433-2778 x 463
    Fax: (808) 433-7078

  • Patients Served: All DEERS eligible DoD Beneficiaries, with priority to Active Duty, VA as space allows, all Ages. Patients will also be prioritized based on urgency of the clinical condition.

  • Requirements to See Neurosurgery:

    • A referral from the Primary Care Provider

    • A recent MRI scan (<90 days)

    • All films/disks need to be mailed to the clinic prior to the appointment or hand carried to the clinic

    • Arrive 15 minutes early to allow for review of hand carried disks/films

    • A completed Neurosurgery questionnaire including all active medications

    • If Air Evac Patient, a completed Patient Movement Record, including patient information and PCP information

    • If patient has co morbidities, a preoperative medical and dental clearance needs to be done prior to the neurosurgical consult

  • Questionnaire on next page, print, complete, and fax to the clinic.