ENT Otolaryngology

ENT Otolaryngology Referral Information

(361) 694-5778

(361) 654-0317

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

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

When you have questions about pediatric care, we have answers.

(361) 694-5000