Referrals
Partnering with healthcare professionals to bring expert genetics care closer to home.
Bring your patients to a medical geneticist-led genetics practice serving Hawaiʻi.
HGI provides comprehensive genetics evaluation, genetic counseling, diagnostic assessment, and longitudinal support for patients across the lifespan.
Secure online referral preferred.
Fax referrals and supporting records:
Secure eFax: (808) 758-0549
We strive to review referrals promptly and will contact your office if additional information is needed.
Why Refer to HGI?
Genetics is an increasingly important part of modern medical care. HGI makes genetics expertise accessible, collaborative, and practical for clinicians and patients throughout Hawaiʻi.
Timely Access
Helping reduce delays to genetics evaluation.
Collaborative Care
Working alongside—not replacing—the referring clinician.
Board-Certified Expertise
Evidence-based consultation across the lifespan.
Statewide Access
Telehealth and community partnerships throughout Hawaiʻi.
When to Refer
Prenatal
Abnormal ultrasound
Positive NIPT
Carrier screening questions
Family history
Pregnancy loss
Pediatrics
Developmental delay
Autism
Congenital anomalies
Dysmorphic features
Rare disease
Adults
Suspected inherited disorders
Family history
Aortopathies
Cardiovascular genetics
Neurologic disease
Cancer
Early-onset cancer
Multiple primary cancers
Strong family history
Known familial pathogenic variant
Important Referral Information
Metabolic conditions: HGI is not the appropriate setting for evaluation or ongoing management of suspected or confirmed inborn errors of metabolism, including for patients who may have previously received metabolic care from Dr. Dowsett in another practice setting. These conditions may require urgent intervention, inpatient or intensive care support, specialized biochemical monitoring, and close coordination with a metabolic dietitian. Because HGI is an outpatient genetics practice, patients with suspected or confirmed metabolic disease should be referred to a hospital-based metabolic genetics program equipped to provide both acute and longitudinal care.
What to Include
✔ Referral reason/clinical question
✔ Relevant medical records
✔ Family history, if available
✔ Prior genetic testing, if applicable
✔ Relevant imaging and lab results
✔ Insurance information
Don't have everything? Thatʻs ok. Send what is available, and our team can help determine what else may be needed.
After the Consultation
HGI communicates consultation findings, recommendations, and relevant genetic test results with the referring clinician to support coordinated care. When appropriate, we remain involved for genetics follow-up as the patient's needs evolve.
Consultation
Findings and recommendations
Results
Genetic testing interpretation and next steps
Follow-up
Ongoing genetics care when appropriate
FAQs
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Every referral is personally reviewed by our clinical team. We strive to review referrals promptly and will contact patients regarding next steps after the referral and supporting records have been evaluated.
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No. In most situations, genetic testing should not be ordered before a genetics consultation. We will review the patient's history, determine whether testing is appropriate, recommend the most informative test when indicated, and help interpret the results in the context of the patient's medical and family history.
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Yes. Patients are welcome to contact HGI directly. While some insurance plans may require a referral from a healthcare provider, many patients choose to begin with a self-referral. Our team will review each inquiry and help determine the most appropriate next steps.
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Yes. Referring healthcare providers receive a comprehensive consultation note summarizing our assessment, recommendations, and any genetic testing that is ordered. When testing is completed, you will receive a copy of the results and a results letter explaining the findings. We believe genetics works best as a collaborative partnership with the patient's healthcare team.
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Yes. Genetics often extends beyond a single consultation. Depending on the condition and the patient's needs, HGI can provide ongoing follow-up, result interpretation as new information becomes available, care coordination, and support for patients and their families over time.
Let's Care for Hawaiʻi Together.
Strong partnerships improve patient care. We look forward to working alongside clinicians and healthcare teams throughout Hawaiʻi.