Records, forms and certifications

Find authorization of care forms for you or a loved one.

View, download, and print commonly used forms, handbooks, and other publications.

A basic summary of your online health record. It meets most needs, including changing your physician or switching to another health plan. Learn more.

Visit my medical records to view and print your or your family members’ most commonly requested medical records and reports from Kaiser Permanente Hawaii, including the following:

This is a summary only of your:

• Allergies
• Immunizations
• Ongoing health conditions
• Prescriptions
• Test results
• Many (but not all) procedures

If you need to send health information to a new physician, this summary should have what your physician needs. You can download a summary of your health record now.

Order an electronic copy of my detailed medical records.

You can specify the date range, which medical records, and the party receiving the copy of your medical records. Allow 10 to 15 business days for the completion of your request. Medical records released as part of this request may contain references related to mental health, addiction, and HIV conditions. Order an electronic copy of your detailed medical records.

After submitting your medical records, you can track and download requested medical records.

Manage Records outside of Kaiser Permanente HI

Contact your Kaiser Permanente Hawaii primary care physician to send external records directly to their office

Pharmacy records

To request these records, you will need to fill out an authorization for release of protected health information (PHI) form (PDF).

Then contact us at:
Phone: (808) 432-5092
Fax: (866) 609-7402
Email: HI-ROI@kp.org

Get a list of immunizations for you or your child. You can download your official immunization certificate for use with school entry, camp, or for an employer. Print your immunizations here.

For records such as death claim benefits, or if you are unsure which form you need, call (808) 432-5092.

To request these records, you will need to fill out an authorization for release of protected health information (PHI) form (PDF).

Then contact us at:

Phone: (808) 432-5092
Fax: (866) 609-7402
Email: HI-ROI@kp.org

To request certification for family and medical leave, please contact your doctor directly. Fill out the FMLA intake form (PDF) and attach the completed form to a message to your doctor on kp.org.

For information about the Family and Medical Leave Act, visit the U.S. Department of Labor.

We can assist you with copies of medical records to confirm hospitalization and other health care treatment.

You will need to fill out an authorization for release of protected health information (PHI) form (PDF).

Then contact us at:

Phone: (808) 432-5092
Fax: (866) 609-7402
Email: HI-ROI@kp.org

We can assist you with confirmation of temporary disability, hospital care, or cancer treatment, or other billing information for your supplemental health insurance.

You will need to fill out an authorization for release of protected health information (PHI) form (PDF).

Then contact us at:

Phone: (808) 432-5092
Fax: (866) 609-7402
Email: HI-ROI@kp.org

You can track and download your requests for Medical Records while signed in to your session.

Get verification of medical expenses for Section 8 housing and other government assistance.

We can help provide medical record information for government assistance.

You will need to fill out an authorization for release of protected health information (PHI) form (PDF).

Then contact us at:

Phone: (808) 432-5092
Fax: (866) 609-7402
Email: HI-ROI@kp.org