ENT Otolaryngology Referral Information
For patient information, please visit the specialty page.ENT Otolaryngology Referral Contact Information:
(361) 694-5778
(361) 654-0317
Referring Physicians Must Fax the Following Information:
- DCH patient referral form (script signed by PCP)
- Insurance/Medicaid card (front and back)
- Physician’s notes
- ABR results, hearing test results, Sleep study results, Labs, X-Ray pertaining to the diagnosis (if available)
- Insurance Information, Demographics showing at least one of the parents full name & date of birth
Patients Must Bring the Following 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)
- Insurance/Medicaid card
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When you have questions about pediatric care, we have answers.
(361) 694-5000
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