Forms
Search & View all MED-Quest forms
Any questions regarding your application, please contact the Med-QUEST Eligibility Branch office located on your island:
SERVICE CENTERS |
TELEPHONE AND FACSIMILE NUMBERS |
Honolulu 1350 S. King Street, Suite 200 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
Kapolei Kakuhihewa State Office Building 601 Kamokila Boulevard, Room 415 Kapolei, HI 96707-2021 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
Waipahu 94-275 Mokuola Street Suite 301 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
East Hawaii 1404 Kilauea Avenue Hilo, HI 96720-4670 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
West Hawaii Lanihau Professional Center 75-5591 Palani Road, Suite 3004 Kailua-Kona, HI 96740-3633 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
Maui Millyard Plaza 210 Imi Kala Street, Suite 101 Wailuku, HI 96793-1274 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
Lanai 730 Lanai Avenue Lanai City, HI 96763 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
Molokai State Civic Center 65 Makaena Street, Room 110 Kaunakakai, HI 96748 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
Kauai Dynasty Court 4473 Pahee Street, Suite A Lihue, HI 96766-2037 |
Phone 1(800) 316-8005 Fax 1 (800) 576-5504 |
If you want to:
You can also call our
Customer Services Call Center at:
Oahu
TTY / TDD |
(808) 524 – 3370
711 |
Please contact Eligibility Branch offices or Customer Services Call Center if you require immediate attention. For general questions, complete this contact form and we will be in touch as soon as possible. Please do not include personal medical conditions or treatments information in this form. You can also try to find an answer by reading the FAQ or searching this website.
If you are a provider and have enrollment questions, please email [email protected] or call 808-692-8099.