The maximum file size for uploads is 2 MB per file.
Allowed file types: PDF, JPEG, GIF, BMP, TIFF and PNG
UHA requires submission of all the documents listed below to approve your request
Copy of current certification if American Board of Specialty
Copy of each rendering provider’s Hawaii State Provider License
Copy of each rendering provider’s Federal DEA number, if applicable
Copy of each rendering provider’s NPI notification
Copy of each rendering provider’s criminal background check