Dermatology

Office: (361) 694-4975
Fax: (361) 694-4869

Fax information required by referring physician:

• DCH patient referral form (script signed by PCP)
• Insurance/Medicaid card (front and back)
• Physician’s notes (pertaining only to the diagnosis)
• Must have skin assessment and previous medications prescribed for this condition
• Current labs

Patient must bring to appointment:

• Patient must be accompanied by parent/guardian (with ID) who knows history
• Immunization card
• Medications presently taken