
Developmental Pediatric Medicine
Office: (361) 694-5650
Fax: (361) 808-2063
Fax information required by referring physician:
- DCH patient referral form (script signed by PCP), Patient must be referred by primary care physician
- Insurance/Medicaid card (front and back)
- Demographic information
- Physician’s notes/diagnosis
- Please include with the referral these findings and previously administered services:
- Current Education Plan: IEP/504/ARD
- ECI
- Genetics
- Therapy/Counseling
- Psychologist /Psychiatrist
- Neurological
- Speech/OT/PT
Patient must bring to appointment:
- Patient must be accompanied by parent/guardian (with ID) who knows the history
- Immunization card
- Report cards to first visit
- Current medications
Please note, we do not provide psychiatric services.
Referrals for Developmental Scholastic Skills must be referred to Psychology.