Brownsville: (956) 698-9600; fax (361) 808-2076
Corpus Christi: (361) 694-6128; fax (361) 694-6955
Laredo: (956) 794-8400; fax (956) 712-3769
Victoria: (361) 572-1000; fax (361) 578-0680

Fax information required by referring physician:

  • DCH patient referral form (script signed by PCP)
  • Insurance/Medicaid card (front and back)
  • Authorization/referral number, number of visits
  • Script with diagnosis/reason for referral and doctor’s signature
  • Labs, X-rays, studies or operative procedures such as endoscopy and colonoscopy
  • Progress notes (Notes from PCP, other specialist, previous surgeries or procedures, etc.)

Note: The DCH Gastroenterology Clinic staff will contact the referring physician’s office after all information is received and reviewed.

Patient must bring to appointment:

  • Patient must be accompanied by parent/guardian (with ID) who knows the history
  • Immunization card
  • Insurance/Medicaid card
  • Medications currently in use