Medical Respite Referrals

Referrals to H4’s medical respite service will most frequently come from hospitals, but referrals from other medical providers and organizations serving the homeless population of urban Honolulu will also be considered.  H4’s clinical team will evaluate the appropriateness of each prospective patient’s admission to the unit based on the information provided by the referring provider or agency, and an in-person examination and interview may be required before the final determination is made.  Prospective patients must meet the following five screening criteria:

  1. Homeless in Hawaii
  2. Has an acute medical condition
  3. Independent with all ADLs
  4. Continent of urine and feces
  5. Behavior appropriate for group setting


To refer a patient for potential admission, please fill out H4’s Patient Referral Form and email it with attachments to .  Then call H4 at 808-784-3831 within 24 hours to discuss the patient’s status and any additional information that may be required.  Information describing the patient’s condition and treatment to date is required with the application, and in some cases, a minimum supply of medication or medical equipment must be furnished by the referring provider.  These requirements are detailed in the Patient Referral Form itself and accompanying Referral Checklist.

Please see ABOUT US for more information on H4’s medical respite service.