ENDODONTIC ASSOCIATES LLC-  Endodontists (Root Canal Specialists) in Honolulu and Aiea, Hawaii
HONOLULU: (808) 591-1515
AIEA: (808) 455-9051
  • HOME
  • OFFICES
    • AIEA
    • HONOLULU
  • OUR TEAM
    • DR. CRAIG HAGA
    • DR. ADAM INABA
    • DR. ANDREW INABA
  • TESTIMONIALS
    • PATIENT TESTIMONIALS
  • TREATMENTS
    • ROOT CANAL THERAPY
    • ENDODONTIC RETREATMENT
    • ENDODONTIC SURGERY
  • PATIENT INFORMATION
    • CHECK-IN INFORMATION
    • ELECTRONIC PATIENT FORMS
    • INSURANCE AND PAYMENT INFORMATION
    • FREQUENTLY ASKED QUESTIONS
  • REFERRING DOCTORS
    • ONLINE REFERRAL SYSTEM
    • REFERRAL FORM
  • TELEDENTISTRY
REFERRAL FORM

If you are a referring doctor and need a copy of our referral form, please download and complete the form below:

Referral form
File Size: 1067 kb
File Type: pdf
Download File

We would like to help accommodate you and your patient's needs, therefore, if one of your patients develops a dental emergency, please contact us by phone at our Honolulu or Aiea office and we will make every effort to fit them into our schedule. 

If you would prefer to use our online referral system, click here. 
Honolulu Office
Ala Moana Shopping Center
1441 Kapiolani Boulevard, Suite 208
Honolulu, HI 96814

Phone: (808) 591-1515
Fax: (808) 593-8628 
Aiea Office
Mary Savio Medical Plaza
98-1247 Kaahumanu Street, Suite 218

Aiea, HI 96701

​Phone: (808) 455-9051

Fax: (808) 486-0344