Refer a Patient to Fukuji and Lum
FOR PHYSICIANS
We partner with physicians, NCMs and adjusters across the state to provide exceptional care for your patients. Download our referral forms and flyers below, or reach us directly; we’ll take great care of them.
(808) 261-4321
Fax (808) 261-4320
malama@fukujilumpt.com
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Getting started
Download the referral form from our portal below.
Complete it with your patient’s information and medical necessity.
Fax the form to (808) 261-4320 or email to malama@fukujilumpt.
Referral forms
Physical Therapy Prescription / Referral Form
Aquatic Physical Therapy Prescription / Referral Form
Pelvic Physical Therapy Prescription / Referral Form
Specialty service flyers
Occupational Rehab Services
Pelvic Health Therapy Program
Aquatic Therapy Program
Pediatric Aquatic Therapy
Why refer to Fukuji & Lum
Combining clinical expertise with specialized resources
Dedicated W.O.R.C. facility at Kokokahi YWCA led by Ryan Sakuma, PT, DPT, specializing in work hardening, work conditioning, and FCEs to return inured workers safely.
Work-Comp & Occupational Rehab
Our team includes Doctors of Physical Therapy (DPT), board-certified Orthopedic Clinical Specialists (OCS), and therapists with advanced manual therapy training (CMPT, NAIOMT)
Credentialed Clinicians
86-88°F pool idea for chronic pain, acute post-op, and patients who can’t tolerate land-based rehab, led by Rachel Hyland, PT, Aquatic Therapy Director.
Outdoor Heated Therapy Pool
HMSA, HMSAA, Medicare, Tricare, No Fault, and most major Workers’ Compensation carriers.
Broad Insurance Participation
Questions about referral?
Fax (808) 261-43320