Hematology Referral Information

For patient information, please visit the specialty page.

Hematology Referral Contact Information:

Corpus Christi:
(361) 694-5311
(361) 808-2069
Rio Grande Valley:
(956) 688-1208
(361) 808-2159

Referring Physicians Must Fax the Following Information:

  • DCH patient referral form (Script signed by PCP)
  • Patient and guarantor demographics (Phone, DOB, SSN, address, etc.)
  • Insurance/Medicaid card (Front & Back)
  • Last history and physical
  • Immunization record
  • Pertinent lab work, ccans and X-Rays

Patients Must Bring the Following to Appointment:

  • Patient must be accompanied by parent/guardian (with ID) who know history
  • Immunization card
  • Insurance card
  • Current medications
  • Current medications, frequency and dosages (please include medications that are used only when needed)

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