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HRS §457-8.8

Advanced practice nurses can sign health care documents

Advanced practice registered nurses (APRNs) can sign, certify, or endorse health care documents for their patients, as long as those documents are within their scope of practice. This includes forms for workers' compensation, state agencies, and physical exams. This law does not expand what APRNs are allowed to do.

The statute, as written — Advanced practice registered nurses; global signature authority

Notwithstanding any other law to the contrary, advanced practice registered nurses shall be authorized to sign, certify, or endorse all documents relating to health care within their scope of practice provided for their patients, including workers' compensation verification documents, verification and evaluation forms of the department of human services and department of education, verification and authorization forms of the department of health, and physical examination forms; provided that nothing in this section shall be construed to expand the scope of practice of advanced practice registered nurses.
Read the official text at capitol.hawaii.gov ↗as published Jan 6, 2026our copy taken Aug 20, 2026

LawTrove is not legal advice. The summary above is a computer-generated restatement — the authoritative text is the official version linked above.