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class="interior-page"> <div class="top-content-wrapper"> <div class="content-wrapper"> <div class="document-header"> <h1 data-epi-type="title">Refer/Admit a Patient</h1> </div> <div class="content-area" data-epi-type="content"> <div class="right-content"> <div class="score-accordion section-menu-wrapper"> <div class="score-accordion-panel"> <div class="panel-heading"> <div class="panel-title"> <button type="button" class="accordion-button" data-target="#sectionMenu" aria-expanded="false" aria-controls="accordion1"> In This Section </button> </div> </div><div id="sectionMenu" class="panel-collapse collapse"> <div class="panel-body"> <div class="bg-lightgrey"> <ul class="main"> <li class=""> <a href="/healthcare-professionals/" aria-label="Professionals" class="GTMMENU" target="_self"> Professionals </a> </li> </ul> <ul class="level-1"> <li class="active"> <a href="/healthcare-professionals/referrals/" aria-label="Refer/Admit a Patient" class="GTMMENU" target="_self"> Refer/Admit a Patient </a> <ul class="level-2"> <li class=""> <a href="/healthcare-professionals/referrals/epic-care/" class="GTMMENU" target="_self"> EpicCARElink Provider Portal </a> </li> <li class=""> <a href="/healthcare-professionals/referrals/home-health-referrals/" class="GTMMENU" target="_self"> Home Health Referrals </a> </li> <li class=""> <a href="/healthcare-professionals/referrals/international-referrals/" class="GTMMENU" target="_self"> International Referrals </a> </li> <li class=""> <a href="/healthcare-professionals/referrals/accepted-insurance-plans/" class="GTMMENU" target="_self"> Accepted Insurance Plans </a> </li> <li class=""> <a href="https://calendar.cookchildrens.org/cookchildrens/monthly" class="GTMMENU" target="_blank"> Specialty Clinic Calendar </a> </li> </ul> </li> <li class=""> <a href="/services/transport/" aria-label="Transport Services" class="GTMMENU" target="_self"> Transport Services </a> </li> <li class=""> <a href="/healthcare-professionals/calendar/" aria-label="Specialty Calendars" class="GTMMENU" target="_self"> Specialty Calendars </a> </li> <li class=""> <a href="/healthcare-professionals/professional-education/" aria-label="Education and Development" class="GTMMENU" target="_self"> Education and Development </a> </li> <li class=""> <a href="/healthcare-professionals/nursing/" aria-label="Nursing Department" class="GTMMENU" target="_self"> Nursing Department </a> </li> <li class=""> <a href="/healthcare-professionals/clinical-pathways/" aria-label="Clinical Pathways" class="GTMMENU" target="_self"> Clinical Pathways </a> </li> <li class=""> <a href="/healthcare-professionals/clinical-research/" aria-label="Clinical Research" class="GTMMENU" target="_self"> Clinical Research </a> </li> <li class=""> <a href="/healthcare-professionals/resource-library/" aria-label="Resource Library" class="GTMMENU" target="_self"> Resource Library </a> </li> <li class=""> <a href="/healthcare-professionals/liaison/" aria-label="Physician Liaisons" class="GTMMENU" target="_self"> Physician Liaisons </a> </li> <li class=""> <a href="/healthcare-professionals/physician-network/" aria-label="Physician Network" class="GTMMENU" target="_self"> Physician Network </a> </li> <li class=""> <a href="/healthcare-professionals/telemedicine/" aria-label="Telehealth and Virtual Medicine" class="GTMMENU" target="_self"> Telehealth and Virtual Medicine </a> </li> <li class=""> <a href="/healthcare-professionals/system-credentialing/" aria-label="System Credentialing and Medical Staff Services" class="GTMMENU" target="_self"> System Credentialing and Medical Staff Services </a> </li> </ul> </div> </div> </div> </div> </div> </div> <div class="top-content"> <div class="rte-content"> <div class="rich-text"><p>When you need to refer/admit a patient, or seek a consultation with Cook Children's, our specialists are here for you. They will work closely to assure that each patient gets the very best care available based on their needs.</p> <h2>Emergency referrals</h2> <p><strong>For emergency referrals </strong></p> <p><strong>Main campus - Fort Worth, call</strong> <a title="1-682-885-3901" href="tel:1-682-885-3901">682-885-3901</a> or <a title="1-800-543-4878" href="tel:1-800-543-4878">1-800-543-4878</a>.</p> <p><strong>Prosper campus, call</strong> <a title="Emergency referral Prosper Medical Center" href="tel:945-204-4400">945-204-4400</a> or <a title="1-800-543-4878" href="tel:1-800-543-4878">1-800-543-4878</a>.</p> <div class="bg-shade p-2 rounded"> <h4>Physician consults</h4> <p><strong>Cook Direct Connect</strong> is a full-service physician call center available to better serve the treating clinicians consultations, direct admissions and non-emergent transfer requests. Please call <a title="682-885-1940" href="tel:682-885-1940">682-885-1940</a>, or toll-free at <a title="855-847-4266" href="tel:855-847-4266">855-847-4266</a> if you are a physician needing to speak directly to another physician.</p> </div> <h2>Call on us - referral guide and specialty contacts</h2> <p>For a listing of referral contacts by department you can view, download and/or print our quick reference contact guide.</p> <p><a class="score-button secondary" title="Download guide" href="/siteassets/documents/resources/trauma/cchcs-qrg2024.pdf?v=1" target="_blank" rel="noopener">Fort Worth specialties guide</a> <a class="score-button secondary" title="Download Prosper guide" href="/siteassets/images/health-resources/mental-health/tsk411_prosperqrg_update24_fr6.pdf?v=1" target="_blank" rel="noopener">Prosper specialties guide</a></p> <p><a class="score-button secondary" title="Download regional locations guide" href="/globalassets/regional-qrg_july_digital.pdf?v=1" target="_blank" rel="noopener">Regional specialties guide</a></p> <h2>Referral forms and contact numbers</h2> <hr style="margin: 20px 0;" /> <p><select class="access"> <option disabled="disabled" selected="selected" value="">Select specialty...</option> <option value="#bariatricList">Bariatric Surgery Program</option> <option value="#cardiologyList">Cardiology</option> <option value="#CARE">CARE Team</option> <option value="#complexCareList">Complex Care Clinic</option> <option value="#craniofacialList">Craniofacial, Cleft, Plastic and Reconstructive Surgery</option> <option value="#dentistryList">Dentistry</option> <option value="#dermatologyList">Dermatology</option> <option value="#childStudyList">Developmental Pediatrics</option> <option value="#earList">Ear, Nose and Throat</option> <option value="#endocrinologyList">Endocrinology</option> <option value="#fetalCenterList">Fetal Center</option> <option value="#gastroenterologyList">Gastroenterology and Nutrition Services</option> <option value="#geneticsList">Genetics</option> <option value="#gynecologyList">Gynecology</option> <option value="#cardiologyList">Heart Center</option> <option value="#hematologyList">Hematology and Oncology</option> <option value="#infectiousList">Infectious Disease</option> <option value="#pathologyList">Lab Services</option> <option value="#maternalList">Maternal Fetal Medicine</option> <option value="#neonatalList">Neonatal Intensive Care Unit</option> <option value="#nephrologyList">Nephrology</option> <option value="#neurologyList">Neurosciences</option> <option value="#neuropsychologyList">Neuropsychology</option> <option value="#orthopedicsList">Orthopedics</option> <option value="#painList">Pain Management</option> <option value="#palliativeList">Palliative Care</option> <option value="#pathologyList">Pathology and Laboratory Medicine</option> <option value="#surgeryList">Pediatric Surgery</option> <option value="#craniofacialList">Plastic Surgery</option> <option value="#pulmonologyList">Pulmonology</option> <option value="#radiologyList">Radiology/Interventional Radiology</option> <option value="#rehabilitationList">Rehabilitation</option> <option value="#rheumatologyList">Rheumatology</option> <option value="#sleepList">Sleep Center</option> <option value="#sportsList">Sports Medicine</option> <option value="#traumaList">Trauma</option> <option value="#urologyList">Urology</option> <option value="#woundList">Wound Care</option> </select></p> <h3 id="bariatricList">Audiology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/globalassets/images/9515_rehab_referral_form23_digital_final-final.pdf/v=1" target="_blank" rel="noopener">Download referral form</a></p> <hr style="margin: 20px 0;" /> <h3 id="behavioralList"></h3> <h3 id="bariatricList">Bariatric Surgery Program</h3> <p><a class="btn btn-activity score-button primary" title="Bariatric Referral form" href="/siteassets/documents/rehab/tsk-474_bariatric_ref_form24--fillable-for-web.pdf" target="_blank" rel="noopener">Download referral form</a></p> <hr style="margin: 20px 0;" /> <h3 id="behavioralList">Behavioral Health (Psychiatry/Psychology)</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info secondary score-button primary" title="Call for assistance" href="tel:682-885-3917">Call for assistance</a> <a class="score-button secondary" href="/services/behavioral-health/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="Call today" href="tel:682-885-3917">682-885-3917</a>.</p> <p>Learn more about <a title="Psychiatry and psychology (behavioral health)" href="/services/behavioral-health/">Cook Children's Behavioral Health</a>.</p> <hr style="margin: 20px 0;" /> <h3>Cardiology</h3> <p><a href="#cardiologyList">See Heart Center</a></p> <hr style="margin: 20px 0;" /> <h3 id="CARE">CARE Team</h3> <p>If you have questions, please feel free to contact us at <a title="Call today" href="tel:682-885-3953">682-885-3953</a>.</p> <p>Learn more about <a title="CARE Team" href="/patients-families/healthcare-team/care-team/">Cook Children's CARE Team</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="complexCareList">Complex Care Clinic</h3> <p><a class="btn btn-activity score-button primary" title="Complex Care Clinic" href="/siteassets/documents/professionals/referrals/complex_care_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button secondary" title="682-303-6650" href="tel:682-303-6650">Call for assistance</a></p> <p>If you have questions, please feel free to contact us at <a title="682-303-6650" href="tel:682-303-6650">682-303-6650</a>.</p> <p>Learn more about <a title="Cook Children's Complex Care Clinic" href="/services/complex-care-clinic/">Cook Children's Complex Care Clinic</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="craniofacialList">Craniofacial, Cleft, Plastic and Reconstructive Surgery</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-7770">Call for assistance</a> <a class="score-button secondary" href="/EPiServer/Cms/~/link/9e3274e74a0142d5afd1ffc5d95a8e50.aspx">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-7770" href="tel:682-885-7770">682-885-7770</a>.</p> <p>Learn more about <a title="craniofacial and cleft services" href="/EPiServer/Cms/~/link/f2ca12930a7c407e8e633d25d6522a70.aspx">Cook Children's Cleft, Craniofacial and Plastic Surgery</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="dentistryList">Dentistry</h3> <p>If you have questions, please feel free to contact us at <a title="817-347-4600" href="tel:817-347-4600">817-347-4600</a>.</p> <p>Learn more about <a title="Dentistry" href="/services/neighborhood-clinics/services/dental-clinic/">Cook Children's Dentistry</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="dermatologyList">Dermatology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-6248">Call for assistance</a> <a class="score-button secondary" href="/services/dermatology/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-6248" href="tel:682-885-6248">682-885-6248</a>.</p> <p>Learn more about <a title="Dermatology" href="/services/dermatology/">Cook Children's Dermatology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="childStudyList">Developmental Pediatrics</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button secondary" title="682-303-9200" href="tel:682-303-9200">Call for assistance</a> <a class="score-button secondary" href="/services/child-study-center/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-303-9200" href="tel:682-303-9200">682-303-9300</a>.</p> <p>Learn more about <a title="Developmental Pediatrics" href="/services/developmental-pediatrics/">Developmental Pediatrics</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="earList">Ear, Nose and Throat</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button secondary" title="682-885-6850" href="tel:682-885-6850">Call for assistance</a> <a class="score-button secondary" href="/services/ear-nose-throat/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Dodson Clinics - Fort Worth</strong><br /><a title="682-885-6850" href="tel:682-885-6850">682-885-6850</a></li> <li><strong>Specialty Clinic - Frisco</strong><br /><a style="font-size: 1.25rem;" title="Ear, Nose and Throat Frisco" href="tel:214-494-4150">214-494-4150</a></li> <li><strong>Specialty Clinic - Prospe</strong>r<br /><a style="font-size: 1.25rem;" title="Ear, Nose and Throat Prosper" href="tel:682-303-4200">682-303-4200</a></li> </ul> <ul> <li><strong>Specialty Clinic - Southlake</strong><br /><a title="682-885-6850" href="tel:682-885-6850">682-885-6850</a></li> </ul> <p>Learn more about <a title="Ear, Nose and Throat services" href="/services/ear-nose-throat/">Cook Children's Ear, Nose and Throat</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="endocrinologyList">Endocrinology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_endo_form_2025.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-7960">Call for assistance</a> <a class="score-button secondary" href="/services/endocrinology/contact-us/">Locations</a></p> <p>For your convenience, only one form is needed for endocrinology and diabetes services. This includes the following services:</p> <ul> <li>Endocrinology</li> <li>Diabetes</li> <li>Hyperinsulinism Center <a title="682-885-7960" href="tel:682-885-7960">682-885-7960</a></li> <li>Risk Evaluation to Achieve Cardiovascular Health (REACH)</li> <li>Endocrine bone health</li> <li>Cancer Survivor Endocrine program</li> <li>Growth clinic</li> </ul> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Dodson Clinics - Fort Worth</strong><br /><a title="682-885-7960" href="tel:682-885-7960">682-885-7960</a></li> <li><strong>Specialty Clinic - Prosper</strong><br /><a title="Endocrinology Prosper" href="tel:682-303-4200">682-303-4200</a></li> </ul> <p>Learn more about <a title="endocrinology and diabetes services" href="/services/endocrinology/">Cook Children's Endocrinology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="fetalCenterList">Fetal Center</h3> <p><a class="btn btn-activity score-button primary" title="Fetal consult/Referral form" href="/siteassets/documents/8525_mkt-hcs-fetal-referral-form_digital-fillable-pulm.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-2158">Call for assistance</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-2158" href="tel:682-885-2158">682-885-2158</a>.</p> <p>Learn more about <a title="fetal " href="/services/fetal-center/">Cook Children's Fetal Center</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="gastroenterologyList">Gastroenterology and Nutrition Services</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Referral form - Fort Worth/Prosper</a> <a class="btn btn-activity score-button primary" title="Referral form - Lubbock" href="/siteassets/documents/professionals/referrals/tsk-304_gi_ref_form23_r1_digital.pdf" target="_blank" rel="noopener">Referral form - Lubbock</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-1990">Call for assistance</a> <a class="score-button secondary" href="/services/gastroenterology/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Dodson Clinics - Fort Worth</strong><br /><a title="682-885-1990" href="tel:682-885-1990">682-885-1990</a></li> <li><strong>Specialty Clinic - Prosper<br /></strong><a title="682-303-4200" href="tel:682-303-4200">682-303-4200</a></li> <li><strong>Specialty Clinic - Lubbock<br /></strong><a title="806-725-5830" href="tel:806-725-5830">806-725-5830</a></li> </ul> <p>Learn more about <a title="gastroenterology services" href="/EPiServer/Cms/~/link/1b6ff7a7a6504c7193cbef2fc567e50b.aspx">Cook Children's Gastroenterology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="geneticsList">Genetics</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-2170">Call for assistance</a> <a class="score-button secondary" href="/services/genetics/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Genetics - Clinical</strong><br /><a title="682-885-2170" href="tel:682-885-2170">682-885-2170</a> phone<br /><a title="800-266-5514" href="tel:+1-800-266-5514">800-266-5514</a> toll free</li> <li><strong>Genetics - Metabolic</strong><br /><a title="Call today" href="tel:682-885-2170">682-885-2170</a> phone</li> </ul> <p>Learn more about <a title="genetics" href="/services/genetics/">Cook Children's Genetics</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="gynecologyList">Gynecology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral fillable form" href="/globalassets/images/8729_gynreferform22_fillable.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-303-0800">Call for assistance</a> <a class="score-button secondary" href="/services/gynecology/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Pediatric and Adolescent Gynecology</strong><br /><a title="682-303-0800" href="tel:682-303-0800">682-303-0800</a> phone<br />682-303-0794 fax</li> </ul> <p>Learn more about <a title="gynecology" href="/services/gynecology/">Cook Children's Pediatric and Adolescent Gynecology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="cardiologyList">Heart Center</h3> <p><a class="btn btn-info score-button primary" title="cardiology referral form" href="/globalassets/episerver-forms/tsk-1292-cardiology-referral-form-update_fr2-fillable-grammar-updates.pdf?v=3" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-2273">Call for assistance</a> <a class="score-button secondary" href="/services/cardiology/contact-us/">Locations</a></p> <p><strong>Additional referral forms:</strong></p> <ul> <li><a title="Cardiac MRI form" href="/siteassets/documents/professionals/cardio-cmri-form.pdf" target="_blank" rel="noopener">Cardiac MRI form</a></li> <li><a title="Cardiothoracic Surgery/Cardiac Catheterization/Electrophysiology referral form" href="/siteassets/cardiothoracic-referral-form.pdf" target="_blank" rel="noopener">Cardiothoracic Surgery/Cardiac Catheterization/Electrophysiology referral form</a></li> <li><a title="fetal echo fetal MRI form" href="/siteassets/documents/professionals/fetalmri_cookchildrens.pdf?v=2,,3026?epieditmode%3dFalse" target="_blank" rel="noopener">Fetal echocardiography referral form</a></li> <li><a href="/siteassets/documents/professionals/referrals/cardiology_referral1.pdf" target="_blank" rel="noopener">Pediatric outpatient echo referral form</a></li> <li><a title="Fort Worth-Arlington Sports EKG referral form" href="/siteassets/documents/professionals/sports-ekg-fortworth-arlington.pdf?v=1" target="_blank" rel="noopener">Fort Worth and Arlington Sports EKG referral form</a> <ul> <li><a href="/siteassets/documents/professionals/sports-ekg-all-others.pdf" target="_blank" rel="noopener">All other locations $25 EKGs</a></li> </ul> </li> </ul> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Dodson Clinics - Fort Worth</strong> <br /><a title="682-885-2273" href="tel:+1-682-885-2273">682-885-2273</a></li> <li><strong>Specialty Clinic - Prosper</strong><br /><a title="Cardiology Prosper" href="tel:682-303-4200">682-303-4200</a></li> </ul> <p>Learn more about the nationally ranked <a title="Cook Children's Heart Center" href="/services/cardiology/">Cook Children's Heart Center</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="hematologyList">Hematology and Oncology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-4007">Call for assistance</a> <a class="score-button secondary" href="/services/hematology-oncology/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <p>at <a title="Call today" href="tel:+1-682-885-4007">682-885-4007</a>.</p> <ul> <li><strong>Dodson Clinics - Fort Worth</strong> <br /><a title="Call today" href="tel:+1-682-885-4007">682-885-4007</a></li> <li><strong>Specialty Clinic - Prosper</strong><br /><a title="Hematology Oncology Prosper" href="tel:682-303-4200">682-303-4200</a></li> </ul> <p>Learn more about <a title="Cook Children's Hematology and Oncology" href="/services/hematology-oncology/">Cook Children's Hematology and Oncology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="infectiousList">Infectious Disease</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-1485">Call for assistance</a> <a class="score-button secondary" href="/services/infectious-disease/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Dodson Clinics - Fort Worth</strong><br /><a title="682-885-1485" href="tel:682-885-1485">682-885-1485</a></li> <li><strong>Specialty Clinic - San Angelo</strong><br /><a title="682-885-1485" href="tel:+1-682-885-2170">682-885-1485</a></li> </ul> <p>Learn more about <a title="infectious disease services" href="/services/infectious-disease/">Cook Children's Infectious Disease</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="pathologyList">Lab Services</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook-childrens-lab-referral-form-fw.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-4300">Call for assistance</a> <a class="score-button secondary" href="/services/pathology/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-4260" href="tel:+1-682-885-4260">682-885-4300</a>.</p> <p>Learn more about <a title="lab services" href="/services/pathology/">laboratory services at Cook Children's here</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="maternalList">Maternal Fetal Medicine</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/globalassets/images/8410_mfmrefform23_final-no-crop-fillable.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-4300">Call for assistance</a> <a class="score-button secondary" href="/services/maternal-fetal-medicine/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-4300" href="tel:682-885-4300">682-885-4300</a>.</p> <p>Learn more about <a title="Maternal Fetal Medicine" href="/services/maternal-fetal-medicine/">Cook Children's Maternal Fetal Medicine</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="neonatalList">Neonatal Intensive Care Unit referral/admittance</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-3901">Call for assistance</a></p> <p>If you have questions, please feel free to contact us at <a title="1-682-885-3901" href="tel:+1-682-885-3901">1-682-885-3901</a> or <a title="1-800-543-4878" href="tel:+1-800-543-4878">1-800-543-4878</a>.</p> <p>Our <a title="Level IV NICU" href="/services/neonatology/">Level IV all-single room neonatal ICU</a> provides <a title="Choosing our NICU" href="/services/neonatology/why-choose-us/">heart rate observation (HeRO) technology, ECMO and hypothermia therapies</a>, as well as integrated cardiac monitoring, infant stroke, preemie care, and other critical neonatal medical conditions.</p> <p>If you require a patient transport to Cook Children's NICU, please contact Teddy Bear Transport:</p> <ul> <li>Call <a title="1-682-885-3901" href="tel:+1-682-885-3901">682-885-3901</a> or <a title="1-800-543-4878" href="tel:1-800-543-4878">1-800-543-4878</a></li> </ul> <hr style="margin: 20px 0;" /> <h3 id="nephrologyList">Nephrology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-4260">Call for assistance</a> <a class="score-button secondary" href="/services/nephrology/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong> Dodson Clinics - Fort Worth</strong> <br /><a title="682-885-4260" href="tel:+1-682-885-4260">682-885-4260</a>.</li> <li><strong>Specialty Clinic - Prosper<br /></strong>682-303-4200</li> </ul> <p>Learn more about <a title="nephrology and dialysis" href="/services/nephrology/">Cook Children's Nephrology & Dialysis</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="neurologyList">Neurosciences</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-2500">Call for assistance</a> <a class="score-button secondary" href="/services/neurosciences/contact-us/">Locations</a></p> <p><strong>Additional referral forms:</strong></p> <ul> <li><a title="Neuro-Rehab referral form" href="/siteassets/documents/specialties/neurology/neurorehabilitation/neuro-rehab-referrals.pdf" target="_blank" rel="noopener">Neuro-Rehab referral form</a></li> </ul> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Dodson Clinics - Fort Worth<br /></strong><a title="682-885-2500" href="tel:682-885-2500">682-885-2500</a></li> <li><strong>Specialty Clinic - Prosper<br /></strong>682-303-4200</li> </ul> <p>Learn more about the nationally ranked <a title="Neurosciences" href="/services/neurosciences/">Jane and John Justin Neurosciences Center</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="neuropsychologyList">Neuropsychology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-2500">Call for assistance</a> <a class="score-button secondary" href="/services/neurosciences/specialty-programs/neuropsychology/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-2500" href="tel:682-885-2500">682-885-2500</a>.</p> <p>Learn more about our <a title="Neuropsychology" href="/services/neurosciences/specialty-programs/neuropsychology/">Neuropsychology Program</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="orthopedicsList">Orthopedics</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-4405">Call for assistance</a> <a class="score-button secondary" href="/EPiServer/Cms/~/link/89724bc179b8434b943b435e30d189e5.aspx">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-4405" href="tel:+1-682-885-4405">682-885-4405</a>.</p> <p>Learn more about <a title="Orthopedics" href="/services/orthopedics/">Cook Children's Orthopedics</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="painList">Pain Management</h3> <p><a class="btn btn-activity score-button primary" title="pain management referral form" href="/siteassets/images/specialties/cardiology/tsk-1184_painreferralform24_final_digital.pdf">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-7246">Call for assistance</a> <a class="score-button secondary" href="/services/pain-management/contact-us/">Locations</a></p> <p><a class="btn btn-activity score-button primary" title="Sign-up for news!" href="https://lp.constantcontactpages.com/su/VpWakyB" target="_blank" rel="noopener">Sign-up for news!</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-7246" href="tel:+1-682-885-7246">682-885-7246</a>.</p> <p>Learn more about <a title="pain management" href="/services/pain-management/">Cook Children's Pain Management</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="palliativeList">Palliative Care</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-1116">Call for assistance</a> <a class="score-button secondary" href="/services/palliative-care/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="Call today" href="tel:+1-682-885-1116">682-885-1116</a>.</p> <p>Learn more about <a title="Palliative Care" href="/services/palliative-care/">Cook Children's Palliative Care</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="pathologyList">Pathology and Laboratory Medicine</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-4847">Call for assistance</a> <a class="score-button secondary" href="/services/pathology/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="Call today" href="tel:682-885-4847">682-885-4847</a>.</p> <p>Learn more about <a title="Pathology and Laboratory Medicine" href="/services/pathology/">Cook Children's Pathology and Laboratory Medicine</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="surgeryList">Pediatric Surgery</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-7080">Call for assistance</a> <a class="score-button secondary" href="/services/pediatric-surgery/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong> Dodson Clinics - Fort Worth</strong><br /><a title="682-885-7080" href="tel:682-885-7080">682-885-7080</a></li> <li><strong>Specialty Clinic - Prosper</strong><br /><a title="Pediatric Surgery Prosper" href="tel:682-303-4200">682-303-4200</a></li> </ul> <p>Learn more about <a title="pediatric surgery services" href="/services/pediatric-surgery/">Cook Children's Pediatric Surgery.</a></p> <hr style="margin: 20px 0;" /> <h3>Plastic Surgery</h3> <p>See <a href="#craniofacialList">Craniofacial, Cleft, Plastic and Reconstructive Surgery</a></p> <hr style="margin: 20px 0;" /> <h3 id="pulmonologyList">Pulmonology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/refer a patient" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-6299">Call for assistance</a> <a class="score-button secondary" href="/services/pulmonology/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-6299" href="tel:682-885-6299">682-885-6299</a>.</p> <p>Learn more about <a title="pulmonology" href="/services/pulmonology/">Cook Children's Pulmonology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="radiologyList">Radiology/Interventional Radiology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/radiology-orders-all.pdf">Referral form - Radiology</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:+1-682-885-4076">Call for assistance</a> <a class="score-button secondary" href="/services/radiology/contact-us/">Locations</a></p> <p><strong>Cook Children's Medical Center and Dodson Specialty clinics</strong>:<br />To schedule an outpatient procedure, or for assistance, please call us at <a title="682-885-4076" href="tel:682-885-4076">682-885-4076</a> - choose option 1.</p> <p><strong>Cook Children's Radiology Center - Hurst</strong>:<br />To schedule an outpatient procedure or for assistance call <a title="682-885-4076" href="tel:682-885-4076">682-885-4076</a>, then fax referral to 817-605-2986.</p> <p><strong>Cook Children's Medical Center and Radiology Center - Prosper</strong>:<br />To schedule an outpatient procedure or for assistance call <a title="Radiology Prosper" href="tel:945-204-1660">945-204-1660</a></p> <p>Learn more about <a title="radiology" href="/services/radiology/">Cook Children's Radiology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="rehabilitationList">Rehabilitation</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/globalassets/images/9515_rehab_referral_form23_digital_final-final.pdf/v=1" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-activity score-button primary" title="Hand Referral form" href="/siteassets/documents/rehab/tsk-395_hand_ref_form24_r2_digital.pdf/v=1" target="_blank" rel="noopener">Hand therapy referral form</a><a class="btn btn-activity score-button primary" title="Swallow function Referral form" href="/siteassets/images/specialties/dermatology/tsk-676_swallowfunctionreferral_24_final.pdf/v=1" target="_blank" rel="noopener">Swallow function referral form</a><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/globalassets/images/9515_rehab_referral_form23_digital_final-final.pdf/v=1" target="_blank" rel="noopener">Audiology referral form</a><a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-7590">Call for assistance</a> <a class="score-button secondary" href="/services/rehabilitation/contact-us/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-7590" href="tel:682-885-7590">682-885-7590</a>.</p> <p>Learn more about <a title="Rehabilitation at Cook Children's" href="/services/rehabilitation/">Cook Children's Rehabilitation</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="rheumatologyList">Rheumatology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-1201">Call for assistance</a> <a class="score-button secondary" href="/services/rheumatology/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-885-1201" href="tel:682-885-1201">682-885-1201</a>.</p> <p>Learn more about <a title="rheumatology pages" href="/services/rheumatology/">Cook Children's Rheumatology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="sleepList">Sleep Center</h3> <p><a class="btn btn-activity score-button primary" title="Consult/refer a patient" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-303-1300">Call for assistance</a> <a class="score-button secondary" href="/services/sleep-center/contacts-and-locations/">Locations</a></p> <p>If you have questions, please feel free to contact us at <a title="682-303-1300" href="tel:682-303-1300">682-303-1300</a>.</p> <p>Learn more about <a title="Sleep Medicine" href="/services/sleep-center/">Cook Children's Sleep Center</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="sportsList">Sports Medicine</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:866-205-7270">Call for assistance</a> <a class="score-button secondary" href="/EPiServer/Cms/~/link/054c3f4d33e3471fb8e6f9e413314e0b.aspx">Locations</a></p> <p><strong>Additional referral forms:</strong></p> <ul> <li><a title="Athletic trainer referral form" href="/siteassets/documents/professionals/referral-atheltictrainer.pdf">Athletic trainer referral form</a></li> </ul> <p>If you have questions, please feel free to contact us at <a title="682-885-4405" href="tel:+1-682-885-4405">682-885-4405</a>.</p> <p>Learn more about <a title="SPORTS medicine" href="/services/orthopedics/specialty-programs/sports-medicine/">Cook Children's Sports Medicine</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="traumaList">Trauma</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-4093">Call for assistance</a> <a class="score-button secondary" href="/services/trauma/">Locations</a></p> <p>If you require a patient transport to Cook Children's, please contact Teddy Bear Transport:</p> <ul> <li>Call <a title="1-682-885-3901" href="tel:1-682-885-3901">682-885-3901</a> or <a title="1-800-543-4878" href="tel:1-800-543-4878">1-800-543-4878</a></li> </ul> <p>If you have questions, please feel free to contact us at <a title="682-885-4093" href="tel:682-885-4093">682-885-4093</a>.</p> <p>Learn more about <a title="Trauma" href="/services/trauma/">Cook Children's Trauma</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="urologyList">Urology</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-303-0376">Call for assistance</a> <a class="score-button secondary" href="/services/urology/contacts-locations/">Locations</a></p> <p>If you have questions, please feel free to contact us:</p> <p><strong>Dodson Clinics - Fort Worth</strong><br /><a title="682-303-0376" href="tel:682-303-0376">682-303-0376</a></p> <p><strong>Specialty Clinic - Prosper</strong><br /><a title="Urology Prosper" href="tel:682-303-4200">682-303-4200</a></p> <p>Learn more about <a title="Urology" href="/services/urology/">Cook Children's Urology</a>.</p> <hr style="margin: 20px 0;" /> <h3 id="woundList">Wound Care</h3> <p><a class="btn btn-activity score-button primary" title="Consult/Referral form" href="/siteassets/documents/professionals/referrals/cook_childrens_referral_form.pdf" target="_blank" rel="noopener">Download consult/referral form</a> <a class="btn btn-info score-button primary" title="Call for assistance" href="tel:682-885-6600">Call for assistance</a> <a class="score-button secondary" href="/EPiServer/Cms/~/link/1e47fe56a3b64629810da614a480cfcb.aspx">Locations</a></p> <p><strong>Outpatients from Cook Children’s physicians<br /></strong>Place burn/wound care referral through EPIC. Select "Wound Care Referral."</p> <p><strong>Outpatients from other facilities</strong><br />Fax order, patient demographics and insurance information to 682-885-6600. Be sure to write "EVAL AND TREAT" along with the patient's diagnosis and site of burn/wound.</p> <p>If you have questions, please feel free to contact us:</p> <ul> <li><strong>Dodson Clinics - Fort Worth</strong><br /><a title="682-885-6600" href="tel:682-885-6600">682-885-6600</a></li> <li><strong>Specialty Clinic - Prosper</strong><br /><a title="Wound Care Prosper" href="tel:682-303-4200">682-303-4200</a></li> </ul> <p>Learn more about <a title="Wound and burn care" href="/EPiServer/Cms/~/link/7b1f5566abb745fc9f7934713afb86c4.aspx">Cook Children's Wound Care</a>.</p> <hr style="margin: 20px 0;" /> <h2>Important phone numbers for referring physicians</h2> <ul> <li>Dodson Surgery Center - <a title="682-885-1514" href="tel:682-885-1514">682-885-1514</a></li> <li>Surgery Center (Hurst) - <a title="817-605-2950" href="tel:817-605-2950">817-605-2950</a></li> <li>Pediatric Surgery Center (Prosper) - <a title="972-300-0215" href="tel:972-300-0215">972-300-0215</a></li> <li>Home Health - <a title="800-747-8242" href="tel:1-800-747-8242">1-800-747-8242</a></li> <li>Rehabilitation Services - <a title="972-300-0215" href="tel:972-300-0215">972-300-0215</a></li> </ul> <hr style="margin: 20px 0;" /> <h2>Transport a patient</h2> <p>If your patient needs to be transferred to Cook Children's Medical Center from a different medical facility, please call <a title="1-682-885-3901" href="tel:1-682-885-3901">682-885-3901</a> or <a title="1-800-543-4878" href="tel:1-800-543-4878">1-800-543-4878</a>.</p> <p>Our medical team is always ready for consultation and transport arrangement by jet, plane, helicopter or ambulance, all equipped to meet the needs of patients from the tiniest preemies to young adults.</p> <p><a class="score-button secondary" title="682-885-3901" href="tel:682-885-3901">Call Teddy Bear Transport</a> <a class="score-button link" title="1-800-543-4878" href="tel:1-800-543-4878">1-800-543-4878</a></p> <hr style="margin: 20px 0;" /> <h2>Insurance information</h2> <p>Cook Children's has contracts with the following health care insurance companies, and we are committed to growing this list. We want to be sure that every family and child in our community has the coverage they need to get and stay healthy.</p> <ul> <li><a title="Contracted insurance plans" href="/patients-families/billing-insurance/insurance-plans/">Cook Children's contracted insurance plans</a></li> </ul> <p>Did you know that Cook Children's also offers a health plan that may help your patients access the care they need? <a title="Cook Children's Health Plan" href="http://www.cookchp.org/English/Pages/default.aspx">Learn more about Cook Children's Health Plan here</a>.</p></div> </div> </div> </div> </div> </div> </div> </main> <script defer="defer" src="/Util/Find/epi-util/find.js"></script> <script> document.addEventListener('DOMContentLoaded',function(){if(typeof FindApi === 'function'){var api = new FindApi();api.setApplicationUrl('/');api.setServiceApiBaseUrl('/find_v2/');api.processEventFromCurrentUri();api.bindWindowEvents();api.bindAClickEvent();api.sendBufferedEvents();}}) </script> </main> 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