Collaborative Workers’ Compensation and No‑Fault Care
Our clinic is led by a Doctor of Nursing Practice, Board‑Certified (DNP‑BC) and Doctor of Chiropractic (DC), providing integrated medical and chiropractic management for Hawaii workers’ compensation and auto/no‑fault injuries. We emphasize accurate diagnosis, functional recovery, clear communication, and documentation tailored to the demands of work‑injury and accident cases.
Referral Profile
We welcome referrals for:
- Acute and subacute occupational and motor‑vehicle musculoskeletal injuries
- Persistent spine and extremity pain after initial urgent or primary care
- Suspected radiculopathy or complex pain presentations needing detailed exam
- Independent second opinions on treatment direction and work status
- Clarification of restrictions, maximum medical improvement (MMI), and safe return‑to‑work
We routinely collaborate with primary care, occupational medicine, orthopedics, neurology, pain management, chiropractic, physical therapy, and urgent care.
Clinical Services
Within the dual DNP‑BC/DC scope, we provide:
- Comprehensive medical and musculoskeletal evaluations
- Detailed spinal and extremity range‑of‑motion assessment
- Neurologic screening including dermatomes, myotomes, and reflexes
- Orthopedic and provocative testing appropriate to the injured region
- Chiropractic and manual therapy, rehab‑focused care, and exercise prescription
- Medication management and diagnostic workup (labs/imaging) when indicated
- Work capacity and activity‑tolerance assessments
Our reports are structured to highlight objective findings, functional impact, and a reasoned link between diagnosis and treatment recommendations.
Documentation and Communication
We recognize the unique demands of workers’ compensation and no‑fault documentation. Our records typically include:
- Mechanism of injury and relation to employment or collision
- Objective examination findings and functional limitations
- ICD‑10 diagnoses with medical necessity rationale
- Specific work restrictions with estimated duration and reevaluation points
- Treatment plan with measurable goals and follow‑up schedule
We make every effort to:
- Provide timely consultation notes and updates to referring providers
- Respond promptly to adjuster, nurse case manager, and attorney inquiries (with authorization)
- Clarify opinions when there are questions about causation, apportionment, or restrictions
Causation, MMI, and Impairment Opinions
When requested and appropriate, we can provide:
- Causation analysis distinguishing industrial/accident‑related factors from pre‑existing conditions
- Maximum medical improvement (MMI) / medically stationary opinions
- Impairment ratings using the applicable AMA Guides edition, when within scope and requested
- Functional capacity‑related opinions tied to the patient’s actual job demands
We strive for opinions that are clinically grounded, clearly articulated, and consistent with Hawaii workers’ compensation and no‑fault standards.
How to Refer and Coordinate Care
Referrals can be made by:
- Faxing a referral and recent notes to [fax number]
- Calling [phone number] to discuss a case directly
- Submitting a secure electronic referral via our online portal (link)
For efficient coordination, please include:
- Patient demographics and contact information
- Claim number, insurer, and adjuster/case manager details
- Reason for referral and specific questions to be addressed
- Relevant imaging and prior specialty reports
We are happy to discuss preferred report formats, co‑management arrangements, and how we can support your practice in managing complex work and auto injuries.
