TX Childrens Hospital Consult Request Form 2017-2025 free printable template

To date our providers have seen medical challenges that consist of diagnosis such as periodic fever syndromes lymphatic conditions dermatological problems allergic reactions musculoskeletal disorders and more. Who We Are Texas Children s General Pediatrics Consult Clinic was established in September 2014 by Dr. Armando Correa Board Certified in Pediatrics and Pediatric Infectious Disease over 20 years of Pediatric experience and an RN Clinic Nurse Coordinator. Jan Drutz past Director for the...

How to fill out TX Childrens Hospital Consult Request Form

How to fill out TX Childrens Hospital Consult Request Form

1. Begin by gathering the patient's personal information including their name, date of birth, and contact details.
2. Provide the referring physician's information, including name, practice name, phone number, and fax number.
3. Select the appropriate department or specialist for the consultation from the list provided.
4. Fill in the reason for the consultation with detailed information about the patient's condition.
5. Attach any relevant medical records or documents that support the referral.
6. Review the form for accuracy and completeness before submission.
7. Submit the form via fax or the designated electronic submission method.

Who needs TX Childrens Hospital Consult Request Form?

1. The TX Children's Hospital Consult Request Form is needed by healthcare providers who are referring patients to specialists at TX Children's Hospital.

People Also Ask about

What is the phone number for Texas children's appointment?

Call us at 832-824-9322 Monday – Friday, 7 a.m. – 7 p.m.; Saturday 9 a.m. – 2 p.m. After an appointment is made, the clinic will reach out to you if a video visit is available.

Does Texas Children's take walk ins?

Our staff physicians or nurse practitioners will treat the following conditions on a walk-in basis (for children over four months of age): Cough/cold. Ear pain. Fever.

What is the phone number for Texas Children's Service Desk?

Member Services CHIP: 832-828-1002 (local), 1-866-959-6555, TTY 800-735-2989 (Texas Relay) or 7-1-1.

How to get my medical records from Texas Children's hospital?

If you are 18 years old you can request your medical record yourself. If you are under 18, a parent will need to help you request your medical record. First call Medical Records at Texas Children's Hospital at 832-824-1600.

What is the fax number for Texas children's referral?

If you would like to refer your patient to our specialty care, select a service below to submit an online referral. Or, you can fax the referral directly to 832-824-7333.

What is the phone number for Texas children's after hours?

To talk to a nurse about your health concerns 24 hours a day, 7 days a week, call the 24-Hour Nurse Help Line toll-free at 1-800-686-3831.

For pdfFiller’s FAQs

How can I edit TX Childrens Hospital Consult Request Form from Google Drive?

It is possible to significantly enhance your document management and form preparation by combining pdfFiller with Google Docs. This will allow you to generate papers, amend them, and sign them straight from your Google Drive. Use the add-on to convert your TX Childrens Hospital Consult Request Form into a dynamic fillable form that can be managed and signed using any internet-connected device.

How do I fill out TX Childrens Hospital Consult Request Form using my mobile device?

Use the pdfFiller mobile app to fill out and sign TX Childrens Hospital Consult Request Form on your phone or tablet. Visit our website to learn more about our mobile apps, how they work, and how to get started.

How do I complete TX Childrens Hospital Consult Request Form on an iOS device?

pdfFiller has an iOS app that lets you fill out documents on your phone. A subscription to the service means you can make an account or log in to one you already have. As soon as the registration process is done, upload your TX Childrens Hospital Consult Request Form. You can now use pdfFiller's more advanced features, like adding fillable fields and eSigning documents, as well as accessing them from any device, no matter where you are in the world.

What is TX Childrens Hospital Consult Request Form?

The TX Children's Hospital Consult Request Form is a document used to initiate a medical consultation for a patient, providing necessary details to facilitate the referral process.

Who is required to file TX Childrens Hospital Consult Request Form?

Healthcare providers such as general practitioners, specialists, or any authorized medical personnel responsible for patient care are required to file the TX Children's Hospital Consult Request Form.

How to fill out TX Childrens Hospital Consult Request Form?

To fill out the TX Children's Hospital Consult Request Form, provide accurate patient information, including demographics, medical history, the reason for the consultation, and any relevant documents or test results.

What is the purpose of TX Childrens Hospital Consult Request Form?

The purpose of the TX Children's Hospital Consult Request Form is to ensure proper and efficient communication between referring providers and specialists to enhance patient care and expedite consultations.

What information must be reported on TX Childrens Hospital Consult Request Form?

The required information on the TX Children's Hospital Consult Request Form includes patient details (name, age, contact info), referring physician details, medical history, reason for referral, and any pertinent lab or imaging results.