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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