Access to Health Care Survey

Are you a patient or physician who has experienced difficulty finding or providing care due to Hawaii's physician shortage?

HMA would like to hear your stories.

Please share your experience with Hawaii's access to medical care crisis.*

Are you willing to let HMA share your story? (If so, be sure to include contact information in the form below.)

First Name*

Last Name*

Phone Number

Fax Number

Street Address

Suite/Apt #

City

State

Zip Code

*Required