
Oncology
Corpus Christi
Office: (361) 694-5311
Fax: (361) 808-2069
Rio Grande Valley
Office: (956) 688-1208
Fax: (361) 808-2159
Fax information required by referring physician:
- 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
Patient must bring 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)