Kokua Nurses - Referral

Home Care Services Ali'i Services Hospital Staff Relief

Kokua Nurses - Serving Hawaii since 1979

Kokua Nurses - Serving Hawaii since 1979

JCAHO accredited

JCAHO accredited

•Referral•

Your Information

How did you hear about us:
Please provide your contact information below. Then tell us as much as you can about the patient's home care needs so we may best respond to your inquiry:
This inquiry is for:
*First Name:
*Last Name:
E-mail:
Street Address:
Address (2nd):
City:
State/Province:
Zip Code:
Home Phone:
Work Phone:
Best Time to Call:
Comments and Questions:

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	210 Ward Ave., Suite 118 Honolulu HI, 96814 Map to Location Phone: (808) 594-2326 Fax: (808) 592-1248 Email 260 Kamahameha Ave., #210 Hilo HI, 96720 Map to Location Phone: (808) 935-6291 Fax: (808) 933-1059 Email

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Kokua: a Hawaiian word meaning: "helper...comforter...to care"
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