Audiology Referral Information

For patient information, please visit the specialty page.

Audiology Referral Contact Information:

(361) 867-5309
(361) 867-5309

Referring Physicians Must Fax the Following Information:

  • DCH patient referral form or physician’s order including physician’s signature
  • Evaluation and/or treatment specified
  • Diagnosis, including ICD-10, supporting requested services
  • Physician’s notes or H&P supporting requested services
  • Insurance / Medicaid card (front and back)

Patients Must Bring the Following to Appointment:

  • List of current medications
  • Patient must be accompanied by parent/guardian (with ID for verification)
  • Insurance/Medicaid card

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