Office: (361) 694-4442
Fax: (361) 694-6955

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
  • Any notes from other specialists
  • Copy of insurance/Medicaid card (front and back)
  • Copy of lab results specifically CBC, CMP, CRP, ESR, UA
  • If referred for joint pain, must order x ray and bring results
  • Progress notes (Notes from PCP, other specialist, previous surgeries or procedures, etc.)

Patient must bring to appointment:

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