Haw. Rev. Stat. § 325-33: Performance of vaccination and immunization.

Vaccinations or immunizations required of any person under this chapter shall be performed by duly licensed physicians or paramedical personnel under their direction, advanced practice registered nurses, physician assistants, pharmacists pursuant to chapter 461, or by authorized representatives of the department of health. A record of the immunization shall be maintained by the physician, physician assistant, advanced practice registered nurse, or pharmacist and shall be available to the department of education for school entry requirements and the department of health.