The Hawaii Optional form for Certification of a Serious Health Condition by a Health Care Provider is a form used to certify and document a serious health condition that requires a patient to take time off from work or school. This form is used to provide a health care provider’s diagnosis and prognosis of the serious health condition, as well as recommendations on how to manage the condition. It is also used to document the health care provider’s compliance with the Family and Medical Leave Act (FMLA). The Hawaii Optional form for Certification of a Serious Health Condition by a Health Care Provider is available in two formats: a paper form and a secure online form. The paper form is used when a patient is unable to access the online form and has their health care provider complete the document. The paper form includes information about the patient, the health care provider, and the health condition. The patient must sign the document along with the health care provider to certify the serious health condition and provide the necessary documentation. The secure online form is used when a patient is able to access the online form and has their health care provider complete the document. The online form includes information about the patient, the health care provider, and the health condition. The patient must provide the health care provider’s information, including their NPI or DEA numbers. The health care provider must then sign the online form to certify the serious health condition and provide the necessary documentation. Both formats of the Hawaii Optional form for Certification of a Serious Health Condition by a Health Care Provider must be filled out completely and accurately. The information provided on this form is used to help determine a patient’s eligibility for FMLA or other related benefits.