MCCP Forms and Publications

• Selected Provisions of Hawaii Revised Statutes Pertaining to the Medical Claims Conciliation Panel (unofficial)
• The MCCP Annual Report to the 2008 Legislature
• The MCCP Annual Report to the 2007 Legislature
• The MCCP Annual Report to the 2006 Legislature
• The MCCP Annual Report to the 2005 Legislature
• The MCCP Annual Report to the 2004 Legislature
• The 2008 Claimant's Guide to the MCCP
  A lay person's guide to the MCCP Process
• MCCP Claim Form and Certificate of Consultation - fillable
• Ex Parte Motion to Waive MCCP Filing Fees
  Complete and submit this form to request a waiver of the MCCP filing fees
• Criteria for Evaluating Motions to Waive MCCP Filing Fees
  Includes 2006 Amendments to 45 CFR 1611 regarding maximum income levels for eligibility to qualify for a waiver of MCCP filing fees
• 2008 Amendments to 45 CFR 1611
  January 2008 Amendments to 45 CFR §1611 regarding maximum income levels for eligibility to qualify for a waiver of MCCP filing fees
• Pre-hearing Statement - fillable
• Pre-hearing Statement Form - typed or handwritten
• MCCP Subpoena Duces Tecum
  Subpoena for the production of medical records
• MCCP Subpoena form
  Subpoena for a witness to appear at the MCCP hearing
• Claimant's Exhibit List form (fillable)
• Respondent's Exhibit List form (fillable)
• Request to Submit Claim to ADR
  Request for approval to submit claim to an alternative dispute resolution provider in lieu of the MCCP
• Policy Regarding the Selection of Panel Chairperson by Agreement of the Parties
• Request for Appointment of Panel Chairperson
• Optional Electronic Filing of MCCP Documents Policy
  Optional process for electronically filing documents with the MCCP
• Ex Parte Motion for Leave to File Electronically
  Submit this form to obtain persmission to file documents electronically with the MCCP
• MCCP Panel Evalulation Form
  Please download and complete the MCCP Panel Evaluation Form and return the completed Evaluation to the MCCP
• Claimant's View of the MCCP
  Reprint of an article written by L. Richard Fried, Jr., Esq.
• MCCP - A Defense Perspective
  Reprint of an article written by Edmund Burke, Esq.