Whether you're relocating to Honolulu, Maui, the Big Island, or a military base on O'ahu, getting your children's medical records organized before school enrollment is critical. Hawaii has three requirements most mainland states don't: a mandatory physical exam, TB clearance, and an HPV vaccination for seventh graders. Here is exactly how to transfer records, meet Hawaii's unique requirements, and get your family set up with new providers.
Last verified: September 1, 2026
Under federal law (HIPAA Right of Access), your previous providers must release your child's medical records upon written request. Start this process at least 4–6 weeks before your move — extra lead time matters when you're crossing an ocean.
Hawaii requires tuberculosis clearance before a child can attend any school or childcare facility — a requirement most mainland states do not have. Under HAR §11-157, TB clearance must be completed within one year before the first date of attendance.
Your child's mainland immunization records will not automatically appear in HiSIS (Hawaii State Immunization System). You must bring them to a Hawaii provider to have them entered.
At your child's first Hawaii well-child visit, bring the official immunization certificate from your previous state. The new provider will enter doses into HiSIS and complete the physical exam on Form 14.
Hawaii requires HPV vaccination for 7th-grade entry — a requirement most mainland states don't have. Hawaii also requires Hepatitis A for kindergarten. If your child was up to date on the mainland, they may still need catch-up doses for Hawaii.
Hawaii requires a physical exam within one year before the first day of attendance. If your child had a recent well-child visit on the mainland, confirm it was within the past 12 months and ask your Hawaii provider to document it on Form 14.
Hawaii has a single statewide school district — the Hawaii Department of Education (HIDOE) — making enrollment more uniform than most states. Requirements:
Contact your assigned school's office at least 2–4 weeks before the first day to begin enrollment. HIDOE offers an online registration portal for most schools.
Hawaii's main islands have established pediatric networks, though availability varies:
Moving across an ocean means your child's records are scattered across providers, registries, and military treatment facilities that don't talk to each other. Family Stork fixes that.
Give your new Hawaii pediatrician your child's private @families.familystork.com address. They send visit summaries, immunization records, and TB results — the health timeline builds itself. When the school asks for Form 14, immunizations, and TB clearance, your complete record is already organized.
$99/year, or about $10/month. Start your child's record free →
Give any Hawaii clinic your child's private @familystork address. They send records; the timeline builds itself. No portal logins, no uploads, nothing for the clinic to learn.
Start your child's record — freeMore resources:
Juggling logins across multiple hospital portals? See how Family Stork compares to MyChart — one email address vs. a different portal for every clinic.
Keep your family's entire health story in one place: family health timeline software — from first heartbeat and beyond.