Contact Us
ÉÙÅ®ÊÓƵ, Inc.
1356 Lusitana Street, Suite 507
Honolulu, Hawaii 96813
Phone: 808-586-2890 or 808-586-2895
Fax: 855-466-6312
Office Hours
Monday to Friday
8:00am-4:30pm (or by appointment)
Central Administration
The ÉÙÅ®ÊÓƵ Central Administrative Office is located on the 5th floor of the UH Tower on The Queen’s Medical Center main campus. The nearest parking is at the Physician’s Office Building I (POB I) Parking Garage.
Executive Director
Natalie K.H. Talamoa
ntalamoa@hawaiiresidency.org
Deputy Executive Director
Auli’i Dudoit
adudoit@hawaiiresidency.org
GME Operations Director
Marlene Keawe
mkeawe@hawaiiresidency.org
Finance
finance@hawaiiresidency.org
Human Resources Director
Rick Kinigson, PH: (808) 586-2891
rkinigson@hawaiiresidency.org
Human Resource Specialist
Debbie Motokane, PH: (808) 586-2889
dmotokane@hawaiiresidency.org
Bookkeeper
Connie Tu, PH: (808) 586-2892
ctu@hawaiiresidency.org
Executive Administrator
Avi Gonzalez, PH (808)-586-2895
agonzalez@hawaiiresidency.org
GME Support Specialist
Ellen Bell, PH: (808) 586-2890
ebell@hawaiiresidency.org
GME Program Manager
Patty Carlson, PH: (808) 586-2895
pcarlson@hawaiiresidency.org
Verification Requests
Program Directors & Program Administrators
ÉÙÅ®ÊÓƵ is happy to process verification requests for all of our trainees (past, current, and incoming). In instances where a request requires ÉÙÅ®ÊÓƵ’s consent form and/or a processing fee*, these must be received before the request will be processed. Please allow 2-3 weeks for processing.
We use a standardized template to confirm a trainee’s program enrollment and training dates (only) at no cost. For a dates-only training verification requiring Program Director signature, contact the relevant Training Program(s) directly. If the GME Operations Director signature will suffice, contact credentialing@hawaiiresidency.org.
For verification requests of any additional information beyond training dates, an ÉÙÅ®ÊÓƵ Consent to Release of Information and Liability form is required. A $50 processing fee is also required, except in instances where the trainee is currently employed by ÉÙÅ®ÊÓƵ and/or the information is being released to a requesting institution in the state of Hawai‘i. Requested information (training, credentials, malpractice history, etc.) will only be provided directly to the indicated institution.
Please note:
- We are not able to process electronic or credit card payments at this time. Checks should be made payable to ÉÙÅ®ÊÓƵ, Inc. and indicate the requesting institution’s name in the memo field.
- We require one ÉÙÅ®ÊÓƵ consent form per requesting institution. One ÉÙÅ®ÊÓƵ consent form will suffice for multiple requests (e.g., verification of both training and malpractice coverage) from the same institution. No other (non-ÉÙÅ®ÊÓƵ) consent form will be accepted. ÉÙÅ®ÊÓƵ consent forms are valid for one year from the date of signature. (Please let us know if you already have a valid ÉÙÅ®ÊÓƵ consent form on file for the institution in question.)
- Checks and ÉÙÅ®ÊÓƵ consent forms may be sent (together or separately) to:
ÉÙÅ®ÊÓƵ, Inc.
Attn: Verifications Department
1356 Lusitana Street, Suite 507
Honolulu, Hawaii 96813
Fax:Â 855-466-6312Â
To contact the Credentialing staff, email us at credentialing@hawaiiresidency.org or fax 855-466-6312. For details on all other types of requests, click to expand the relevant section(s) below:
Confirmation of employment history, such as dates of employment, position, and/or salary.
- Examples: Employment letters, loan applications, loan deferment/forgiveness forms (including the PSLF).
- Consent form & fee – NEITHER REQUIRED
- Contact the ÉÙÅ®ÊÓƵ Human Resources staff:
- For assistance with a Public Service Loan Forgiveness (PSLF) form, contact Debbie Motokane.
- For all other verifications of employment (not training), contact ÉÙÅ®ÊÓƵ Human Resources Director Rick Kinigson.
Requests for qualitative training program information beyond the scope of a dates-only verification.
- Examples: verification of performance, competencies, credentials, or privileges; questionnaires related to training; any request that requires a program seal or notarization.
- Consent form and fee – BOTH REQUIRED (see details above)
- Contact credentialing@hawaiiresidency.org; staff, will process the consent & fee and then forward the request as appropriate
Disclosure of any malpractice/claims history, or proof of liability coverage (past, present, or future).
- Examples: verification requests that include a question about malpractice history, stand-alone malpractice inquiries, visiting resident applications that require proof of coverage.
- Consent form and fee – BOTH REQUIRED for a claims history request
- an ÉÙÅ®ÊÓƵ Consent to Release of Information and Liability form
- A $50 processing fee
- Except in instances where the trainee is currently employed by ÉÙÅ®ÊÓƵ and/or the information is being released to an ÉÙÅ®ÊÓƵ member hospital or to the Hawai‘i Medical Board.
- NEITHER REQUIRED for a Memorandum (Certificate) of Coverage (MOC) when requested by the trainee directly. Consent is required if the request is being made by a third party.
- Contact the ÉÙÅ®ÊÓƵ Credentialing staff for a claims history (to process consent and fee before forwarding request).
- Contact ÉÙÅ®ÊÓƵ Executive Administrator, Avi Gonzalez, for a Memorandum of Coverage (MOC) only.
Requests for personal (subjective) references from current training program faculty members.
- Examples: requests for personal reference letters on program letterhead; peer reference forms that ask for personal assessments and do not request qualitative training data.
- Consent form and fee – CONSENT REQUIRED; PROCESSING FEE NOT REQUIRED
- an ÉÙÅ®ÊÓƵ Consent to Release of Information and Liability form
- Contact the ÉÙÅ®ÊÓƵ Credentialing staff, who will process the consent form and then forward the request as appropriate.
Requests for a replacement Certificate of Completion, signed by institutional and program leadership.
- Examples: Employment letters, loan applications, loan deferment/forgiveness forms (including the PSLF).
- Consent form and fee – $50 FEE REQUIRED; CONSENT FORM NOT REQUIRED
- A $50 processing fee
- Except in instances where the trainee is currently employed by ÉÙÅ®ÊÓƵ and/or the information is being released to an ÉÙÅ®ÊÓƵ member hospital or to the Hawai‘i Medical Board.
- Contact the ÉÙÅ®ÊÓƵ Credentialing staff, who will process the fee and then forward the request as appropriate.