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.