Sports Medicine Referral Information
For patient information, please visit the specialty page.Sports Medicine Referral Contact Information:
(361) 694-5057
(361) 808-2067
Referring Physicians Must Fax the Following Information:
- DCH patient referral form (script signed by PCP)
- Insurance/Medicaid card (front and back)
- Authorization/referral number, number of visits
- Script with diagnosis/reason for referral and doctor’s signature
- X-ray and/or lab studies or notation stating studies done at DCH. If study done outside of DCH, please bring actual films or image CD.
- Progress notes (Notes from PCP, other specialist, previous surgeries or procedures, Etc.)
Note: The DCH Orthopedic Clinic staff will contact the referring physician’s office after all information is received and reviewed.
Patients Must Bring the Following to Appointment:
- Patient must be accompanied by parent/guardian (with ID) who knows the history
- Immunization card
- List of current medications
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When you have questions about pediatric care, we have answers.
(361) 694-5000
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