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.