MICP Forms and Publications
Medical Inquiry and Conciliation Panel (MICP)
- Act 296 of the 2012 Hawaii Legislature Pertaining to the Medical Inquiry and Conciliation Panel
- (PDF) The 2013 Guide to the MICP
- (PDF) Inquiry Regarding Rendering of Professional Services
- (PDF) Certificate of Consultation
- (PDF) Ex Parte Motion to Waive MICP Filing Fees
- (PDF) Request to Submit MICP Inquiry to ADR
- (PDF) MICP Subpoena for Appearance
- (PDF) MICP Subpoena for Production of Documents
- (PDF) Proceeding Statement Form
- (PDF) Inquiring Party’s Exhibit List
- (PDF) Health Care Provider’s Exhibit List
- (PDF) Request for Appointment of Panel Chairperson
- (PDF) MICP Panel and Program Evaluation Form