Physician Referral

To refer a patient to our practice, please click the button below to download a physician referral form. Complete it and fax it to the location at which your patient will be treated. Our locations and fax numbers are listed in the grey box below.

Physician Referral

Kihei - Kalama Heights

101 Kanani Rd
Kihei, HI 96753
(808) 633-4480

Fax: (866) 465-8155
E-mail: VenturePT@gmail.com

Hours:
  • Mon - Fri: 8am - 7pm
  • Sat: 9am 1pm

Kihei - KWMC

221 Piikea Ave
Kihei, HI 96753
(808) 633-4480

Fax: (866) 465-8155
E-mail: VenturePT@gmail.com

Hours:
  • Mon - Fri: 8am - 7pm
  • Sat: 8am - 5pm

Lanai - Lanaʻi City

628 Ilima Ave
Lanai City, HI 96763
(808) 463-9508

Fax: (866) 465-8155
E-mail: VenturePT@gmail.com

Hours:
  • Mon - Fri: 7am - 8pm
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Our physician referral is a PDF file. To download and print the forms, you'll need the free Adobe Acrobat Reader program.

Our physician referral is a PDF file. In order to download and print them, you'll need the free Adobe Acrobat Reader program: iPad/iPhone | Android | Desktop

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