Craniofacial / Plastics

Corpus Christi: (361) 694-4444; fax (361) 694-4445
McAllen: (956) 688-1200; fax (361) 808-2075
Harlingen: (956) 421-1715; fax (361) 808-2072
Brownsville: (956) 698-8600; fax (361) 808-2076
Laredo: (956) 794-8460; fax (361) 808-2766

Fax information required by referring physician:

• DCH patient referral form (script signed by PCP)
• Insurance/Medicaid card (front and back)
• Physician’s notes
• Current Labs, X-Ray, CT, MRI reports (if available)
• Insurance information, demographics (updated telephone numbers, address, parent/guardian information)

Patient must bring to appointment:

• Patient must be accompanied by parent/guardian (with ID) who knows the history
• Guardianship paperwork/letter of medical consent (If patient is under care/custody of someone other than parent)
• Immunization card
• Insurance/Medicaid card
• Actual current medications and dosages