Texas HCSSA License #021535Mon–Fri · 8:00 AM–5:00 PM(346) 341-8231

Refer a patient

Begin the pediatric referral-readiness review.

Use the guided steps to identify the child’s needs, timing, requested schedule, and referral contact. Start with what is available. We will help clarify the rest.

REFERRAL READINESS INTAKE

Start with what you know.

Step 1 of 4

Who should intake call about this referral?

Do not enter a child’s full name, exact date of birth, insurance number, detailed medical records, Social Security number, or upload documents here. Intake will arrange secure document exchange during follow-up.