Hematology Referral Information
For patient information, please visit the specialty page.Hematology Referral Contact Information:
Corpus Christi:
(361) 694-5311
(361) 808-2069
Rio Grande Valley:
(956) 688-1208
(361) 808-2159
Referring Physicians Must Fax the Following Information:
- DCH patient referral form (Script signed by PCP)
- Patient and guarantor demographics (Phone, DOB, SSN, address, etc.)
- Insurance/Medicaid card (Front & Back)
- Last history and physical
- Immunization record
- Pertinent lab work, ccans and X-Rays
Patients Must Bring the Following to Appointment:
- Patient must be accompanied by parent/guardian (with ID) who know history
- Immunization card
- Insurance card
- Current medications
- Current medications, frequency and dosages (please include medications that are used only when needed)
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