HAWAII TRAVELER COVID-19 TESTING REGISTRATION

The State of Hawaii requires pre-travel COVID-19 testing to avoid the state’s 14-day traveler quarantine. Testing must be performed by a designated Trusted Testing Partner, such as UMC. Please note that UMC offers COVID-19 testing to Hawaii travelers at a cost of $130 per test. UMC will collect the full payment from travelers at the testing location, and UMC will not bill insurance.

To avoid the 14-day quarantine, Hawaii travelers must receive their tests 48 to 72 hours prior to their departure time. Effective November 24, 2020, travelers who have not yet received their negative COVID-19 test results prior to departure for Hawaii will go into quarantine with no ability to come out of quarantine. If you have a multi-city flight itinerary, the departure time is from the last city you leave before arriving at a Hawaii airport. Complete the form below to begin the scheduling process. Please ensure that you enter your email address correctly during the registration process to prevent any issues. 

Please complete the form below to begin the scheduling process. UMC will deliver a PDF copy of your official State of Hawaii test result reporting form through fast, secure email. When you register for your test, please include a valid email address where you wish to receive your results. This will serve as valid proof of testing, and it must be submitted to the State of Hawaii. Do not depart from McCarran International Airport in Las Vegas prior to uploading your NEGATIVE COVID-19 test result to the State of Hawaii Safe Travels website. While UMC is responsible for administering COVID-19 PCR tests, it is your responsibility as a traveler to review and follow all protocols in place from your airline, travel destination, lodging provider and all other entities associated with your travel plans

 Click here for information about how to submit your results and additional details about the Hawaii Safe Travels Program

If you wish to receive your results through other means, such as fax or hard copy, you can call UMC’s Health Information Management Department at 702-383-2255 during normal business hours to make arrangements. UMC will make every effort to accommodate your request as quickly as possible.

To expedite the registration process, please enter your name and date of birth exactly as they appear on your ID. You must be 18 or older to register.

As a helpful reference for reading your test results:
Not Detected = Negative
Detected = Positive
UMC will contact you directly if your result is positive.

Please note that UMC offers COVID-19 testing to Hawaii travelers at a cost of $130 per test. UMC will collect the full payment from travelers at the testing location, and UMC will not bill insurance.
PATIENT INFORMATION
Last Name: * First Name: *
Phone #: * Date of Birth: * MM/DD/YYYY
INFORMED CONSENT

Please read the "Informed Consent for COVID-19 Diagnostic Testing" document. Clicking this link will open the document in a separate browser tab.

Acknowledgment

AUTHORIZATION AND CONSENT

Please read the "Authorization and Consent" document. Clicking this link will open the document in a separate browser tab.

Acknowledgment

For assistance with UMConnect or the MyChart app, please call 702-789-5160.

To speak with a UMC representative, please call 702-383-1800.

To submit this form and continue the scheduling process, please click the "Schedule your COVID-19 Test"
button below.