Chapter 5: Medical Clinics, Departments and Programs

Internal Medicine Clinic
Central Appts......................................433-2778
Clinic Info...........................................433-9237

3rd Floor, H Wing, Oceanside (across from the Emergency Department)
Clinic Hours: Weekdays, 8 am to 8 pm
Military Sick Call Hours: Weekdays, 7 to 8 am, 5 to 6 pm; Closed weekends and all federal holidays
The Internal Medicine Clinic offers a full spectrum of healthcare services by appointment for adult beneficiaries empanelled with the clinic. Military sick call is on a walk-in basis on weekdays, for those members empanelled to the clinic with acute or urgent needs. For more information, please call 433-9237 weekdays, from 8 am to 8 pm.

The Clinic's Care Focus includes:
Preventive health services for adults
Acute care of adult health issues
Comprehensive, routine care for adult health issues
Women's health services including Pap smears and breast cancer screening
Diabetic comprehensive care
Geriatric care
Immunizations
Periodic and DoD physical exams

Allergy/Adult Immunization Clinic
Telephone 433-2778 ext. 5, 3
4th Floor, C Wing (Dept. of Medicine)
Hours: Weekdays, 7:30 am to 4 pm
Walk in Hours: Allergy shots are given Mon and Wed, 1 to 3 pm; Fri, 7:30 to 8:30 am
Immunizations are given daily during clinic hours

ASSIST
Augmentation of Special-Needs Services and Information to Students and Teachers
Telephone 433-1479
DSN (315) 433-1479
Fax 433-2304

Administrative Office
7th Floor, C Wing, Room 7C004
Hours: Weekdays, 8 am to noon, 1 to 4 pm; Closed weekends and holidays
Field offices are located at various elementary schools on Federal Property.
Iroquois Point
Elementary School 499-6500 ext. 241
Makalapa
Elementary School 421-4110 ext. 249
Mokapu
Elementary School 254-7964 ext. 241
Wheeler AAF, Bldg. 685 656-0256/8

ASSIST provides services to children primarily at schools located on military bases. There are three main areas of focus for ASSIST: The evaluation and provision of services (to include supportive and therapeutic psychological services for military students, parents, and families) for medical conditions with educational implications (such as Attention Deficit/Hyperactivity Disorders, autism, and dyslexia). Website access for completion of questionnaires and linkages to other rated websites that can be found at: http://www.assist.army.mil. The provision at those schools of medically prescribed occupational and physical therapy. Benefits of ASSIST include: less time spent by the families visiting physicians in order to make the diagnosis, an expedited evaluation process by specially trained Clinical Psychologists, access to a well-rounded, unbiased, and scientifically-sound source of information at one site, a single, secure website for completion of questionnaires for the Department of Defense, and medically-based physical and occupational therapy by specially trained individuals (the services address the physical/medical needs of the child, whereas the services provided by the educational system address the OT/PT services needed for educational goal attainment).

Blood Donor Center
Telephone 433-6148/95
2nd Floor, A Wing, Room 2A207
Walk-Ins: Mon thru Thu, 8 am to 3:30 pm; Fri, 8 am to noon
The Blood Donor Center always welcomes donors, because blood and blood products are in high demand. If you are willing to donate blood or to coordinate a blood drive, please visit or call the donor center for more information and/or an appointment.

Emergency Services
Emergency 911
Pediatric Clinic (weekday hours) 433-6697
AN EMERGENCY IS DEFINED as a condition or injury that, if not treated immediately, could endanger the life or health of the individual or cause permanent disability. We recognize that a parent may not be sure whether their child's problem is an emergency. If you have any questions, please call ER at 433-6629 or the Pediatric clinic at 433-6697 during clinic hours.

Exceptional Family
Member Program (EFMP)
Telephone 433-4441
DSN (315) 433-4441
Fax 433-4316
7th Floor, A Wing, Room 7A007
Hours: Weekdays, 8 am to noon, 1 to 4 pm; Closed weekends and holidays; Screenings by appointment only
The Exceptional Family Member Program (EFMP) identifies and documents the special medical, mental health and/or educational needs of family members, to ensure that those needs are considered during the assignment process. Enrollment in EFMP is mandatory for all family members of active-duty service members with needs requiring specialized services.

Enrollment Criteria Include:
Any potentially life-threatening conditions and/or chronic medical/physical conditions requiring follow-up support more than once a year or specialty care
Mental health conditions (current and chronic - duration of 6 months or longer)
Inpatient or intensive outpatient mental health services within the past 5 five years
Intensive mental health services required at the present time
Asthma or other respiratory-related diagnosis with chronic recurring wheezing
Attention Deficit Disorder/Attention Deficit Hyperactivity Disorder
Adaptive equipment
Assistive technology devices
Environmental/architectural considerations
Special education services specified on an Individualized Education Program (3 to 21 years of age)
Early intervention services for birth to 3 years of age
The family member should be enrolled when initial diagnosis of a medical condition is made and/or awareness of special educational concerns are addressed. Information should be updated at least every three years or whenever there is a substantial change in condition. This process applies to adults as well as children. Screening is required for all family members requesting travel to an overseas assignment.

Family Medicine Clinic
Central Appts 433-2778
Clinic Info 433-3300
1st Floor, D Wing, Room 1D350
Clinic Hours: Weekdays, 7:30 am to 4 pm
Immunization Hours: Weekdays, 8 am to 4 pm
Evening Hours: Mon thru Thu, 4 to7 pm
Closed weekends and all federal holidays
The Family Medicine Department physicians, mid-level providers and nurses offer a full spectrum of healthcare services for enrollees of all ages. The Family Medicine team also includes a clinical pharmacist, a behavioral health counselor, a nurse educator and a clinical psychologist. With the exception of sick call, all patients are seen by appointment. Patients who walk in without an appointment will be evaluated by a Registered Nurse, but may experience a wait. For more information, please call 433-3300 weekdays, 8 am to 4 pm.

The Clinic's Care Focus is:
Preventive health services
Routine continuity care for chronic health issues
Acute and urgent illness
Continuity for obstetric care to include prenatal and deliveries
Newborn care
Women's health services including Pap smears and breast cancer screening
Family Planning, to include oral contraceptives, IUD and Implanon insertion
Routine well-child and adolescent care
School and sports physicals
Adult and geriatric care
Immunizations
Sports medicine
Minor skin surgery and cryosurgery
Vasectomy
Colposcopy and exercise treadmill testing

Infectious Diseases Clinic
Telephone 433-6513
4th Floor, H Wing, Medical Specialties
Hours: Weekdays, 7:30 am to 4 pm
The Infectious Diseases Clinic is a referral clinic for other medical providers who need consultation regarding their patients with either difficult-to-diagnose or difficult-to-treat infections. We allow self-referral for two diagnoses only: HIV disease or for leisure travel advice.

Immunization Clinic (Pediatric)
Telephone 433-6234
4th Floor, F Wing, Room 4F702, Mountainside
Hours: Weekdays, 8 am to 4 pm; Sat, 10 am to 4 pm by appointment only
No appointments are necessary, but each patient must sign in at the front desk. Please bring immunization record, medical record, outpatient medical card and ID card, as applicable for age. Minors being immunized must be accompanied by parents or legal guardians who must sign their consent forms. Adolescents with appropriate records may be immunized in the Adolescent Clinic (See Pediatric/Adolescent Clinic on Page 33). If you have a child who needs to be seen in the Pediatric Clinic and have other children, please try to arrange for childcare to minimize the number of children who may be exposed to illness.

Obstetrics and Gynecology Department
Telephone.................................433-2778 ext. 71
4th Floor, H Wing, Room 4H508,
Use Mountainside Entrance
Hours: Weekdays, 8 am to noon and 1 to 4 pm, except Tue, open 10 am to 4 pm
The Obstetrics and Gynecology (OB/GYN) Clinic is a medical specialty clinic that offers services in obstetric and gynecologic care. Also offered are several other Sub-Specialty clinics that include Maternal Fetal Medicine, Reproductive Endocrinology (Infertility), Gynecologic Oncology and Urogynecology.

Urgent care is provided in the Same-Day Evaluation Clinic (SDEC). The OB/GYN Clinic is located on the 4th floor of the H Wing and is easily accessed through the Mountainside Entrance of the medical center.

Gynecology
Appointments to the Gynecology Clinic or one of its sub-specialties: Reproductive Endocrinology (Infertility), Gynecologic Oncology, Colposcopy or Gynecologic Urology are generally made by referral or consultation. The OB/GYN clinic will call you after it receives a referral to schedule the appointment with you. However, you may also refer yourself for family planning services or well-woman care through Central Appointments, 433-2778.

Obstetrics
Mothers must be eligible beneficiaries to deliver at Tripler and may call the OB clinic for more information. Mothers at Tripler receive quality medical care before, during and after their pregnancies. A positive result on a home pregnancy test is all that is required for patients to begin receiving prenatal care.

Newly expectant moms or those transferring to Tripler from another facility may contact Central Appointments for an obstetric registration appointment.

After the registration visit, we will make you another appointment with a healthcare provider for a physical exam and complete review of the records. A Medical Support Assistant (MSA) will assist you in making all follow-up appointments. Be sure to bring all the records you have if obstetric care was started elsewhere. At your registration appointment, we will discuss the options available to you for your care at Tripler during your pregnancy, i.e. Family Medicine, Certified Nurse Midwives, OB, or Maternal Fetal Medicine subspecialists. A variety of free parenting and pregnancy classes are also available, including boot camps for dads, sibling classes, labor preparation for siblings to attend delivery, breastfeeding and labor and delivery tours.

Antepartum Diagnostic Center
6th Floor, F Wing, next to Labor and Delivery
The Antepartum Diagnostic Center provides testing and consultation for high-risk pregnancies. The center staff performs highly specialized and detailed ultrasound examinations, non-stress testing for high-risk pregnancies and various forms of genetic testing and prenatal diagnoses. Patients are referred by the provider seeing them for OB care. Once your OB provider determines that you need an ultrasound, they will direct you to call the Antepartum Diagnostic Center. Appointments are made directly through the Antepartum Diagnostic Center. The Antepartum Diagnostic Center will call patients to schedule appointments for direct consult referral for genetic counseling and other medical concerns once a consult has been placed by your OB provider.

Labor and Delivery
6th Floor, F Wing
Labor and Delivery is most easily accessed through the 4th floor Mountainside Entrance of the medical center. Labor and Delivery is open 24 hours a day, seven days a week. We offer a triage area for pregnant patients who are 20 weeks gestation and above. This should be utilized for acute pregnancy complications as well as for labor checks.

For obstetric emergencies, patients who are below 20 weeks in their pregnancy are asked to contact the Same-Day Evaluation Clinic during normal clinic hours. Contact the Tripler ER (433-6697) or Schofield Acute Care Clinic (433-8850) at night, and during weekends and holidays. Newly remodeled birthing suites provide expectant mothers and their labor companions with a comfortable and homey labor and delivery experience. The large, wide-open rooms come furnished with state-of-the-art medical equipment, cabinets for storage, baby warmers, overstuffed sleeper chairs, television, and an island touch with a mountain window view and seascape pattern on the ceiling. Several rooms offer Jacuzzi tubs to be used to help ease labor discomfort.

Tripler has implemented several initiatives to provide optimum care for pregnant women:
Expectant mothers are seen by the same healthcare provider or team of providers during their pregnancies.
Follow-up appointments for the mother are made before she leaves the clinic.
All patients receive second trimester ultrasounds.
21 "stork" parking spaces in the Oceanside and 12 in the Mountainside Parking Lots are reserved for high-risk pregnancies and mothers at 36-weeks gestation. Parking passes are arranged by your healthcare provider.
All patients needing anesthesia service are given dedicated support.
New mothers are offered a special celebratory meal for her and a guest.
All staff physicians providing obstetrical care are fully credentialed and are either board-certified or board-eligible with their national organizations. A team of pediatricians attends all Cesarean Deliveries and other high-risk deliveries. A Neonatal Intensive Care Unit with Neonatologist is on site. Labor and Delivery also offers various pain management options to include anesthesia services with 24-hour availability by highly skilled nurse anesthetists and anesthesiologists. The OB/GYN department has several women's health nurse practitioners and certified nurse midwives. Labor and Delivery has highly trained, caring, and compassionate nurses who hold national certifications for inpatient obstetrical nursing. There are two certified lactation consultants on site to support breastfeeding mothers. Women may also choose to be followed through their pregnancies with their family medicine physician. Family Medicine sees obstetrical patients at Tripler, Schofield Barracks, Kaneohe Bay and Pearl Harbor.

Same-Day Evaluation Clinic
The Same-Day Evaluation Clinic (SDEC) offers obstetric evaluations on a walk in basis for urgent pregnancy concerns during normal clinic operating hours until 3:30 pm. These evaluations are for obstetrical patients, up to 6 weeks postpartum or post surgery, post-op surgical patients and emergent GYN consults. Patients are prioritized by the SDEC nurse and evaluated by our SDEC doctor. These evaluations are for acute pregnancy concerns and should not be confused with routine obstetric care.

OB Advice Nurse
The OB Advice Nurse offers advice to pregnant women with pregnancy concerns that may or may not need immediate attention. Common concerns may include medication or vaccine safety, coping with pregnancy symptoms, or whether or not to be seen, or other unanticipated concerns. The advice nurse is available Mon, Wed, Thu, and Fri, 8 am to 3:30 pm and Tue, 10 am to 3:30 pm.

The advice nurse phone number is 433-2778, ext. 7, 3. If you are nearing your delivery date and have labor and delivery concerns please call labor and delivery triage at 433-9900.

Nutrition Outpatient Clinic
Telephone 433-4950
4th Floor, A Wing
Hours: Weekdays, 7:30 am to 4 pm
The Nutrition Outpatient Clinic is a referral clinic for other medical providers who need consultation regarding their patients. We also allow self-referral for two conditions: Active Duty Weight Management programs and general adult wellness. Consults are triaged according to location of service or family member, and the patient may be seen at Tripler or Schofield Barracks Health Clinic.

Pathology Department
Specimen Collection Laboratory
Telephone 433-6666/4
4th Floor, G Wing, Room 4G216,
near Mountainside Entrance
Hours: Weekdays, 7 am to 4:30 pm
Patient blood and urine specimens for testing are collected at the Specimen Collection Laboratory per physician's orders.

Pathology Services
2nd Floor, G Wing (most other operations)
Hours: Weekdays, 7:30 am to 4 pm
The Department of Pathology and Area Laboratory Services provides a full range of essential medical laboratory science services in support of Tripler and other DoD health facilities throughout the Pacific. We are committed to service excellence and the delivery of high quality, clinically relevant information quickly, so physicians and clinical staff may provide patients with superior healthcare.

Our staff of 180 military and civilian medical lab science professionals and administrative support personnel provide the following services:
Anatomic Pathology, including surgical pathology, autopsy, and cytology
Tissue biopsy and cytologic examinations for determination of cancerous and reactive infectious conditions and tissue confirmation
Autopsy
Tumor registry to assist clinicians in following patients with malignant diagnoses
Clinical Pathology, including chemistry, virology/immunology, microbiology, hematology and blood bank
Specimen collection and analysis of blood and other body fluids for biochemicals, physical properties, or infection
Flow cytometry
Blood collection from donors and processing into FDA-licensed blood products
Maintaining a supply of blood products and issuing them for patient care
Consultation to clinicians and others on the laboratory science aspects of healthcare.
Training programs for military and civilian laboratory science students
Tripler laboratories are accredited by the College of American Pathologists to ensure the reliability of patient specimen test results. The blood collection and transfusion services are accredited by the American Association of Blood Banks and comply with Food and Drug Administration requirements intended to ensure the safety and purity of blood and blood products for transfusion. Microbiology laboratories participate in the CDC Laboratory Response Network.

Tumor Registry 433-6664
2nd Floor, G Wing, Room 2F301,
near Mountainside entrance
Hours: Weekdays, 7 am to 4:30 pm
Our Tumor Registry is accredited by the American College of Surgeons.
Patient blood and urine specimens for testing are collected at the Specimen Collection Laboratory.

Core (STAT) Laboratory 433-6159/2290
2nd Floor, F Wing, Room 2F301A,
Mountainside Entrance
Hours: 24 hours a day, seven days a week
The Core lab processes and tests routine and high priority patient specimens.

Pediatric/Adolescent Clinic
Telephone 433-6697
Appointments at Tripler 433-9226/2778
Adolescent Clinic Emergencies 433-4165
(for same-day appointments)
Tripler Exceptional
Family Member Program 433-6205
4th Floor, F Wing
Hours: Weekdays, 8 am to noon, 1 to 4 pm; Sat, 10 am to 4 pm by appointment only

To improve patient care and reduce waiting time, the Tripler Pediatric Clinic normally sees children by appointment only. Patients are seen in the following order:
Emergencies
Patients with scheduled appointments
Patients who walk into the clinic without appointments
All patients with acute problems will be seen, but walk-ins may have to wait up to three hours, depending on the seriousness of their problems. To minimize waiting time, call for a same-day appointment.
Appointments for the Pediatric Clinic are made through the Pediatric Appointment System at 433-9226/2778. Dial and listen for instructions. The pediatric/adolescent clinic has expanded so it can accommodate all patients. To enroll in our outstanding clinic, please ensure you are enrolled in TRICARE and go online to easily book appointments, http://www.tricareonline.com.

If your physician requests that you bring your child back for a follow-up appointment, a nurse will make sure you have an appointment before you leave.

School physical appointments are also made through Pediatric Appointments at 433-9226/2778.
Pediatrics specialty care appointments are by appointment only or physician referral. Call the regular Pediatrics Appointment Line, 433-9226/2778 for the pediatric specialties below:
Cardiology
Infectious disease/Pediatric Travel Medicine
Gastroenterology
Endocrinology
Hematology/Oncology
Rheumatology
Pulmonary
Neurology

For other pediatric specialties, call as indicated:
Cerebral Palsy: ext. 2778
Developmental Pediatrics: ext. 2778
Myelodysplasia: ext. 2778
Nephrology: ext. 4165
Infants: All children born at Tripler are seen in the well-baby clinic. We have appointments 365 days a year to monitor your child's first few days of life.

Pediatrics (Developmental)
Telephone 433-6205
DSN (315) 433-6205
Fax 433-2304
7th Floor, C Wing, Room 7C004
Hours: Weekdays, 8 am to noon, 1 to 4 pm; Closed weekends and holidays
Developmental Pediatrics cares for children with a multitude of chronic handicapping conditions. Professional staff includes: child neurology, developmental pediatrics, genetics, child psychology, pediatric neuropsychology, pediatric occupational therapy, pediatric physical therapy, speech and language pathology for children less than three years of age, and medical social work. Clinics available through Developmental Pediatrics include: Attention Deficit/Hyperactivity Disorder, DME Clinic, Feeding/Swallowing Clinic, Genetics/Metabolic Clinic, Individual Developmental/Behavioral, Neurology Clinic, Neuromuscular Clinic, Special Care NICU Follow-up Clinic, Zero to Three Clinic.

ADHD Clinic
This clinic provides comprehensive assessment for children 4 to 17 years of age suspected of having an Attention Deficit Hyperactivity Disorder, and co-morbid disorders. The ADHD Clinic also provides education for parents and their children about ADHD.

ADHD Parents Group
This group provides training in child management and school consultation techniques for parents of noncompliant, defiant, and/or oppositional children (ages 3 to 12), with or without ADHD (Attention Deficit/Hyperactivity Disorder). Meetings are usually held on Monday mornings and/or Wednesday afternoons for ten sessions. Patients are accepted only by referral from their primary care or specialty provider.

Pharmacy Service (Outpatient)
For Information 433-7880
For Refill Requests 433-6962
4th Floor, G Wing
Prescription Services on the Island of Oahu
With the exception of "special order" or "non-formulary" medications, you can pick up most of your prescriptions (new and refill) to include controlled substances at any of the military pharmacies (Tripler, Schofield, Hickam, Pearl Harbor and Kaneohe Bay) regardless of where the prescription was originally written. You are not restricted to one particular pharmacy. For example, you can go to Tripler to receive your prescription that was originally written at Pearl Harbor. Vice versa, you can go to Hickam or Pearl Harbor to pick up your prescription that was written at Tripler.

NOTE: If your doctor or the pharmacy told you that the medication is a "special order" or "non-formulary," please pick up the prescription where it was written. If you want to pick up at another pharmacy, please coordinate directly with that pharmacy before showing up. Otherwise, the pharmacy may not be able to fill your prescription.

ID Card Policy
In order to pick up prescription from the pharmacy, the pharmacy will need to see the patient's military ID card or a photocopy (both front and back) of the patient's military ID card. For patients being discharged from the hospital, the pharmacy will accept the inpatient identification wrist band or inpatient ward identification stamp card in lieu of the patient's military ID card. Parents can use their own military ID to pick up prescriptions for their family members who are 17 years and younger. For family members who are 18 years or older, the parent will need to have the family member's military ID card to pick up the prescription.

Location and Operation, Hours of Outpatient Pharmacy
New Prescriptions
4th Floor, G Wing, TAPA Way next to H Wing
Hours: Weekdays, 8 am to 9 pm; Sat, 8 am to
4 pm; Closed Sun and federal holidays

Refill and Will-Call Prescriptions
To Request Refills 433-6962
4th Floor, G Wing, EWA TAPA Way next to F Wing
Hours: Weekdays, 8 am to 4 pm
Refill: All refill requests must be called-in (433-6962) in advance. The automated refill request line is available 24/7. If you call before 6 pm, your prescription will be ready for pick up the next duty day. If you forgot your prescription numbers or do not know if you have any more refill left, please call 433-7880/7882/7883 for information. You can still pickup your refills after 4 pm from the Main Pharmacy, but will have to pull a ticket number.

Will-Call: If you forgot to call-in your refill request, you can still get your refills but it will take at least 2 hours. Please go to the refill window and fill out a will-call request.

Discharge Prescription
4th Floor, G Wing, EWA TAPA Way, next to F Wing
Hours: Weekdays, 8 am to 4 pm, after 4 pm go to the new prescription side; Weekends and federal holidays, 8 am to 3:30 pm
After-Hours: Go to Inpatient Pharmacy on the 2nd Floor for service
NEX Pharmacy Pick Up
For Refill Request 433-6962
For Information 422-2394
2nd Floor, Pearl Harbor Navy Exchange, next to Food Court
Hours: Mon thru Sat, 10 am to 6 pm; Closed,
Sun and federal holidays
Refill: If you want to pick up your refill prescription at the NEX, please call 433-6962 and select the NEX pickup site option. Your refills will be available after 48 hours. Prescriptions not picked up within 10 days will no longer be available for pick up and the patient will have to request the refill again.

New Prescriptions: You can drop off your new handwritten (hard copy) prescription at the NEX pharmacy. The prescription will be available for pick up after 72 hours. Prescriptions not picked up within 10 days will no longer be available for pick up and the patient will have to request for pick up again and wait another 72 hours.

Internet Prescription Refill Processing
If you prefer to order your refills on the Internet, please visit our website at http://www.tamc.amedd.army.mil. Once you have accessed the site, click on the Pharmacy/Refill link for instructions.

Hospital Staff
It is highly recommended that all eligible personnel assigned to Tripler Army Medical Center use the Will-Call service for all new and refill prescriptions. The will-call is the most efficient system for the staff and pharmacy. This service allows the staff to go back to work and then stop by the pharmacy later to pick up their prescriptions.
Peak Times (Busiest)
Hours: Weekdays, 10 am to 1 pm, 3 to 5 pm; Sat, 8:30 am to noon
During these peak times, your wait may exceed one hour. Please plan accordingly to avoid a long wait.

Psychiatry Department
The Department of Psychiatry provides the following services:
Army Substance Abuse Program (ASAP)
Telephone 433-8700
Schofield Barracks, Bldg. 673, 1st Floor
ASAP provides intensive outpatient treatment for alcoholism and drug addiction for adults ages 18 to 65. Treatment is designed to increase patients' awareness of the impact of alcohol and drugs on their lives, to facilitate responsible decision-making and to help participants develop a plan for continued growth upon completion of the program. After completing the program, patients are scheduled to come in periodically, for up to one year, to complete the recovery process.

Child and Adolescent Psychiatry Service
Telephone 433-6418
2nd Floor, B Wing
It provides assessment and treatment of children and adolescents with emotional and behavioral problems. A unique service is the Child Study Group where children under age 6 are initially evaluated in three consecutive group sessions.

Emergency and Consultation/Liaison Service (Psychiatry)
Telephone 433-7469
2nd Floor, B Wing
The service provides emergent assessment, crisis intervention and treatment to adults and children requiring acute intervention throughout TAMC and acts as a liaison between Department of Psychiatry and Inpatient wards of other departments at Tripler and provides psychiatric consultation as required.

Psychiatric Inpatient and Psychiatric Nursing Service
Telephone 433-6374/2610
Ward 4B2
These nurses provide a full range of psychiatric inpatient services. Psychiatric Emergency Services are available 24 hours a day, 7 days a week, in conjunction with care in the Tripler Emergency Room. For services, come to the ER or call 433-6629.

Psychiatric Outpatient Service
Telephone 433-2737
4th Floor, D Wing
Outpatient Psychiatry Services offer routine periodic outpatient care consisting of individual counseling, medication management, and group therapy. Couples therapy is also provided to meet the needs of couples who are affected by deployments and adjusting to military lifestyle. Interested individuals seeking Outpatient Psychiatry services can have providers either refer or self-refer themselves, which they will undergo an initial assessment from which an individualized treatment plan is generated.

Tri-Service Addictions
Recovery Facility (TRISARF)
Ward 4B
Hours: Weekdays, 8 am to 4 pm
TRISARF is a 5-week intensive outpatient, level 2.5 American Society of Addiction Medicine (ASAM) treatment program that provides comprehensive evaluation and addiction treatment services to all active duty Military and TRICARE eligible beneficiaries (Retirees and Family members), age 18 to 65 years, in the Pacific Basin. We also offer a two-week Step Down program for those released from a Level 3, Inpatient Residential Treatment program. The Step Down program will allow a reconnection with one's community and help facilitate the transition to proper aftercare treatment. TRISARF treatment includes an individualized Assessment and Evaluation, Multi-disciplinary Case Management, Group therapy, Individual therapy, Couples/Marital therapy, Family Counseling, Psychiatry services, psycho-educational classes, Twelve step program, Chaplain services, Alcohol Anonymous. Our staff is comprised of a Psychiatrist, Psychologist, Master level Counselors and Social Workers (all CSAC certified), a Chaplain and Registered Nurse. We also provide weekly updates to referring agencies and offer on/off site Treatment Team Meetings. We are accessible via the referring agencies of Army ASAP (433-8700), Navy SARP (471-9002), Air Force ADAPT (449-0175) and Marine SACC (257-3900) or we can be consulted by typing TRI in the consult menu in CHCS.

Intensive Outpatient Program (IOP) Services
Telephone.............................. 433-7480
4th Floor, D Wing
This is an individualized, multi-disciplinary psychiatric outpatient program for patients who need a more intensive program than is found in traditional outpatient care, but do not require inpatient psychiatric hospitalization. The program runs an average of 6.5 hours a day for 10 days. The treatment is focused on building life-coping skills. Please call 433-7480 for referral criteria for this service.

Psychology Department
Telephone 433-1498
8th Floor, A Wing, Room 8A00
Hours: Weekdays, 7:30 am to 4:30 pm
The department offers the following services:
Adult Psychology
The Adult Psychology Service provides comprehensive psychological health services for active duty and, as space allows, their adult family members. Evidenced-based treatment services include treatment of anxiety, relationship problems, sleep problems, Post Traumatic Stress Disorder, depression, adjustment problems, and other psychological health issues impacting adults. Assessment services include inpatient psychiatric assessment, learning disability assessment, fitness for duty evaluations, screening for military schooling, and provider requests for diagnostic clarification. Interventions include evidence based practices specific to the goals developed for the patients. Resiliency training is offered for those not specifically meeting criterion for a psychological health disorder but desiring services to improve their adjustment related to deployment issues. These services may be accessed through provider consult or directly through prospective participants by calling the psychology service at 433-1498.

Behavioral Health in Primary Care
Behavioral health services are integrated into TAMC's Adult Medicine, Family Medicine, and Obstetrics primary care clinics. Behavioral Health Consultants consult with medical providers in managing care of patients who have behavioral health factors that affect health outcomes or functioning and collaborate with medical providers to increase communication between specialty behavioral health and primary care. Additionally, these providers conduct assessments and brief interventions with regular follow-up consultations with Primary Care Managers on issues affecting patient care and health outcomes.

Behavioral Medicine Service
This program provides specialized diagnostic services and treatment of a variety of physical conditions. These services combine cognitive-behavioral therapy with psychophysiologic recognition and regulation treatment of a variety of disorders including, but not limited to migraine and tension headache, Raynaud's phenomenon, hypertension, paradoxical vocal cord disorder, irritable bowel syndrome, and tinnitus.

Child, Adolescent and
Family Psychology Service
The Child, Adolescent, and Family Psychology Service provides an array of youth and family-based services incorporating cognitive-behavioral-emotional strategies within ecosystemic, developmental, and integrated health frameworks.

Services Include:
Assessments: Psychological, Learning, Diagnostic, Intake
Individual Therapy (in combination with Family Interventions)
Family Therapy
Group Therapy
Social Skills Groups/Healthy Life Skills Groups: For children, teens and parents - psychoeducational, time-limited
Deployment Education and Support Group: For children and parents
Positive Parenting: For parents of young children
Consultation
Collaboration/Monitoring

Concussion Clinic
The Concussion Clinic coordinates the care provided to beneficiaries who have experienced a mild head injury that has resulted in physical, cognitive or emotional changes. Treatment may focus on improving memory, attention, activities of daily living, balance, movement, sleep and mood. Primary care and case management activities are provided by the Clinic. The goals of the program are to improve functioning and quality of life. The Concussion Clinic staff includes a primary care physician, neurologist, a Clinical Nurse Specialist (RN) and a psychologist. Specialty providers include neuro-psychologists, audiologists, speech pathologists, occupational therapists, physical therapists and a psychiatrist. The Concussion Clinic follows recognized treatment standards for mild TBI including the joint VA/DoD guidelines.

Integrative Pain Center
This multidisciplinary center provides comprehensive evaluations for pain diagnosis, treatment, research and education. A team of health psychologists, physicians, nurses and other health professionals are dedicated to evaluating and treating persons seeking relief from persistent pain. The program aims to reduce or eliminate pain and suffering, restore optimum levels of function, facilitate return to work, promote safe and effective use of medications and enhance quality of life.

A pilot program is in place for active duty returning soldiers with musculoskeletal pain to determine the effectiveness of complementary and alternative modalities (CAM), specifically acupuncture, chiropractic or medical massage therapies, in conjunction with conventional medical and cognitive-behavioral pain management.

Our pain program mission is to empower patients with persistent pain to learn about their bodies and pain conditions and learn strategies for self-management. Various education modules, like COPE (Coping with and Overcoming Pain Effectively) assist individuals in understanding the mind-body connections in how our bodies feel pain. The goal is to learn techniques to improve management of pain in conjunction with medical treatments. Topics include the effects of pain and stress on the body and how to reduce the negative physical effects; lifestyle habit changes, such as sleep, exercise and nutrition, to reduce pain flares; develop different coping strategies and behavioral skills to improve functioning in daily life and to enhance a sense of control over pain. Family members are welcome to attend all classes.

Lean Program
The LEAN Healthy Lifestyles Program is a two-phase prevention and wellness program that helps patients to modify lifestyle behaviors in order to improve physical and mental health and facilitate military readiness. Phase I consists of one day (8:30 am to 4:30 pm) of intensive education focusing upon nutrition, exercise, health maintenance, and behavioral self-control. Phase II is a behavioral planning, monitoring, and reinforcement component designed for patients who have difficulty implementing or sustaining healthy lifestyle behaviors. Phase II provides a weekly support group with weight monitoring and monthly behavioral counseling sessions. Medication intervention via Xenical is available for patients who follow-up consistently and demonstrate measured behavioral modification efforts. The Healthy Lifestyles Program is particularly appropriate for adult TRICARE beneficiaries with obesity, diabetes, dyslipidemia, hypertension, and other disorders of metabolism or cardiopulmonary function and for whom current lifestyle behaviors are increasing the probability of adverse health consequences. The Healthy Lifestyles Program also welcomes healthy beneficiaries who are motivated to improve their lifestyle behaviors in order to avoid adverse health outcomes, including weight gain. Interested individuals should request a "LEAN" consult from their primary or specialty care managers after obtaining an initial medical evaluation and clearance for low-to-moderate intensity exercise.

Neuropsychology Service
Clinical neuropsychology is a branch of psychology that systematically focuses on human brain functioning and provides valuable clinical data regarding known or suspected problems with the brain. Neuropsychological evaluation is often requested for persons with brain injury, stroke, infectious CNS disease, dementia, seizures, brain tumors, movement disorders and for any other condition that may affect the brain.

Neuropsychological test results can be useful in more accurate diagnosis, prognosis predictions, recovery documentation, and information provided for medical boards, neurobehavioral management, neuropsychological rehabilitation, to resolve return-to-work or return-to-duty questions and in formulating treatment plans. Neuropsychological services may also include neuropsychological rehabilitation or guidance in neuropsychological rehabilitation of cognitive and neurobehavioral issues. Therapy and psychoeducation can be provided for persons with brain-related conditions and their families.

Services are available to active duty personnel, family members of active duty personnel, retirees, and other eligible Department of Defense beneficiaries. Services are available for the full age span of adulthood. Neuropsychology works closely with all medical clinics, including Family Medicine, Neurology, Psychiatry and Neurosurgery, as part of a multidisciplinary approach to diagnosis and treatment.

Psychology Research Program
Our research program involves projects designed to study and help individuals and families serving/supporting our country. Each project may run from one to four sessions, with or without incentives. This data is crucial to improve psychology training programs. Point of contact is Major Stetz, 433-1651 or melba.stetz@us.army.mil.

Tobacco Cessation Program
This biopsychosocial treatment program consists of 10 weeks of psychoeducational and support group intervention in conjunction with appropriate medication (varenicline, bupropion HCl, or the nicotine patch). Behavioral skills are provided in a modular fashion and scheduled for discussion at key implementation points as patients progress across the early, intermediate, and later stages of tobacco cessation. Discussion topics include medication use, problem solving strategies to cope with cravings and increase the probability of early success, stress management strategies, alternative rewarding behaviors, and relapse prevention.

Public Health Nursing
Tripler: 1A Telephone 433-6834
Hours: Weekdays, 7:30 am to noon, closed noon to 1 pm and on Fri, until 10:30 am for training

Schofield Barracks Health Clinic 433-8675
Hours: Weekdays, 7:30 am to 4 pm, closed noon to 1 pm and Fri until 10:30 am for training

Fort Shafter: Readiness and Medical Clinic
Telephone 438-3455
Hours: Weekdays, 7:30 am to 4 pm, closed noon to 1 pm, and all training holidays
Army Public Health Nursing (PHN) protects and promotes health while decreasing the burden of disease and injury on the community. APHN applies health education principles to promote, maintain or restore the health of military personnel and their families, with priority given to the active-duty population.

Specific Functions Include:
Assess and facilitate Soldier health protection, health promotion and human readiness for war
Provide health promotion/education and disease prevention programs
Develop, implement and evaluate programs that meet identified community health needs
Conduct home visits/assessments to provide health education and referrals to other community services as needed
Provide health consultation to the Child Development Service staff
Implement programs and services for Communicable Disease control
Program Areas and Services Include:
Soldier Readiness and In-processing health surveillance services (Predeployment screening DD2795, Post Deployment Assessment (DD 2796), Post Deployment Reassessment Assessment (PDHRA) and Periodic Health Assessments (PHA)) Infectious disease surveillance and health threat mitigation Pandemic and disaster response community interventions

Radiology Department
Telephone 433-2778
Use the following menu choices to schedule your exam.
CAT Scan 8, 1, 2
General Radiology 8, 4
Mammogram 8, 5
MRI 8, 2
Nuclear Medicine 8, 3
Ultrasound 8, 1, 1

3rd Floor, G Wing
The Radiology Department provides 24 hour imaging services for emergent and urgent requests. Most routine requests are scheduled through the appointment line utilizing the menu options. Appointment times vary by the type of exam being scheduled. The Department of Radiology provides state-of-the-art, full spectrum radiology services to include general diagnostic plain radiography, gastrointestinal radiology/fluoroscopy, MRI, Ultrasound, CT scan, PET scan, pediatric radiology, musculoskeletal, neuroradiology and Women's Imaging/Mammography. Additional subspecialty services offered include Interventional Radiology, Nuclear Medicine and Radiation Oncology. The Department of Radiology is divided into several sections, each directed by a board certified radiologist specializing in that particular area.

Mammography/Women's Imaging
Telephone 433-2778, option 8 then 5
Clinic appointments and self referral
3rd Floor, G wing
Hours: 7:30 am to 4 pm
Accredited by the American College of Radiology, the women's imaging center provides a full range of services designed to screen for and detect early breast cancer.

Tripler Radiology provides screening and diagnostic mammography, Ultrasound, MRI and biopsy procedures. Current recommendations for screening mammography are annually for women 40 years and older who have no breast related symptoms. Several initiatives have been implemented to facilitate scheduling of screening mammograms. Eligible women with a primary care provider may schedule their own mammograms without a referral by calling 433-2778, options 8 then 5. Appointments may also be scheduled simply by coming by the front desk of the Women's Imaging Center during clinic hours. Your mammogram will be interpreted by a Board Certified Radiologist and results will be sent to you in the mail and will be available to your primary care provider. If further imaging or procedures are necessary the Women's Imaging Center will call you for further scheduling and consultation. While screening mammography does not take the place of an annual exam with your provider, it is our goal to increase your access to care.

Interventional Radiology
Clinic Information 433-5221
Location 6G
Hours: 7:30 am to 4 pm
The Interventional Radiology service provides a number of minimally invasive, image guided procedures as an alternative to traditional surgery and tests. Examples of the types of scheduled procedures performed include arteriograms, angioplasty, uterine artery embolization for fibroids, and biopsies. Appointments for the interventional radiology (IR) service are generally made by referral or consultation. The IR service will call to schedule your appointment after the referral is received.

Radiation Oncology
Clinic Information 433-6601
Location G1D
Hours: 7:30 am to 4 pm
The Radiation Oncology service offers state-of-the-art radiation oncology care with compassion, education, and a team approach. The staff works with you, your family, and your physicians to provide you with superior quality care. Treatment is designed and delivered utilizing the latest technology, to include CT simulation, computerized treatment planning, high-energy linear accelerators, radio surgery and Brachytherapy (implant therapy). The professional and courteous staff will greet you and guide you through the entire process. The Radiation Oncology Service is committed to providing you high quality integrated oncology care, working closely with all health care providers involved in your care. Formal discussions regarding your care are held in Tumor Boards—conferences where specialists knowledgeable about your type of cancer review your medical condition. Today's cancer patient is likely to have many doctors—the Radiation Oncology service works hard to coordinate your care with them.

Nuclear Medicine
Clinic Information 433-5144
Location 3A015
Hours: 7:30 am to 4 pm
The Nuclear Medicine Service offers a full range of diagnostic functional imaging procedures to include bone scans, thyroid scans, myocardial perfusion studies, SPECT, and PET/CT. In addition, radiotherapies such as treatment for thyroid disease are also performed. Our staff of board certified physicians, technologists, and radiopharmacist are highly trained and experienced. The Nuclear Medicine service is certified by the Nuclear Regulatory Commission (NRC) and the American College of Nuclear Physicians (ACNP).

Social Work Department
Telephone 433-6606
2nd Floor, B Wing
The four primary areas of the Department of Social Work are Medical Social Work, Family Advocacy Program, Outpatient Social Work and Marriage and Family Therapy Center.

Medical Social Work
Medical Social Work has
Three Main Functions:
Inpatient Discharge Planning
Outpatient Medical Social Work
Deployment Support Care Management
Medical social workers are integral members of the inpatient interdisciplinary healthcare teams and work with primary care outpatient clinics, including Tripler's Adult Medicine Clinic and the Family Practice Clinic.

Medical social workers help with psycho-social needs that impact health and healthcare utilization. Medical social workers provide crisis intervention and supportive counseling, assistance with placement into appropriate long-term care or rehabilitation facilities, and referrals and linkage to community resources.

Family Advocacy Program
The Family Advocacy Sections are located at Tripler Army Medical Center and Schofield Barracks Health Clinic.
TAMC 433-6606
SBHC 433-8579
To report suspected abuse or neglect, call:
Military Family Abuse Shelter 533-7125
Military Police 438-7114 or 655-7114
Child Protective Service 832-5300
The TAMC section serves as the center for the reporting of all inpatients who are suspected of being victims of abuse or neglect, regardless of branch of service. Both programs evaluate spouses and children who are suspected of being abused or neglected, so that appropriate treatment plans may be provided.

It is the legal and moral responsibility of all military and civilian personnel to report cases of suspected child and spouse abuse/neglect. In addition to its primary missions, the Department of Social Work also provides consultation, counseling, information, assistance and referral services for problems of a personal nature.

Outpatient Social Work 433-6606
The Outpatient Social Work Clinic provides counseling services to all military personnel and their families to assist in dealing with issues that affect their lives. Services include initial intake interviews, individual and couples counseling, deployment concerns, as well as referrals for any other appropriate services.

Marriage and Family Therapy Center
For information and appointments 433-8550
The Marriage and Family Therapy Center provides therapeutic support to service personnel and their spouses on a voluntary, self-referral basis. Marital and family treatment is offered in a confidential atmosphere at Schofield Barracks Health Center, 2nd Floor, Bldg. 681.

Surgery Department
Surgical Sub-Specialty Clinics
2nd Floor, A Wing, Room 2A317, Oceanside
Hours: Weekdays, 7:30 am to 4 pm
General Surgery
Pediatric Surgery
Urology
Neurosurgery
Cardiothoracic Surgery
Vascular Surgery
Plastic Surgery

To Schedule an Appointment:
Call 433-2778, press 4 for Surgery
Then Press:
1 for General Surgery
5 for Pediatric Surgery
6 for Urology, Neurosurgery, Plastic Surgery, Vascular Surgery and Cardiothoracic Surgery

Surgical Admission Center (SAC)
Telephone 433-5998/9
6th Floor, C Wing
Hours: Weekdays, 4:45 am to 10 pm; Closed weekends and holidays
The Surgical Admission Center (SAC) provides three services:
Pre-operative assessment
Day-of-surgery check-in
Post-operative phase 2 recovery and discharge

Travel Medicine Clinic
Telephone 433-6513
4th Floor, H Wing, Medical Specialties
Hours: Friday, 9 to 11 am
The Travel Medicine Clinic is a self-referral appointment clinic in Infectious Diseases for leisure and vacation travelers who desire maximal pre-trip preparation. We schedule any eligible beneficiary who is 17 years or older. Currently, we do not see deploying active duty travelers (contact Adult Allergy-Immunology Clinic for individuals/small groups; or Preventive Medicine for groups of ten or more). For pediatric patients 16 years or younger, contact Pediatric Infectious Diseases.  read more...

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