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Specialty Referrals

Craniofacial and Cleft Surgery

To refer a patient to a specialist at Cook Children's Craniofacial and Cleft program, please contact our schedulers at 682-885-7770. Our schedulers can help instruct you regarding specific information that will be required.

Learn more about craniofacial and cleft services at Cook Children's here.

Ear, Nose and Throat (ENT) Center

To refer a patient to a specialist at Cook Children's ENT program, please contact our schedulers at the corresponding locations below:

Our schedulers can help instruct you regarding specific information that will be required

Learn more about ear, nose and throat services at Cook Children's here.

Endocrinology & Diabetes

Download and print referral forms:

For your convenience, only one form is needed for endocrinology and diabetes services. This includes the following services:

  • Endocrinology
  • Diabetes
  • Hyperinsulinism
  • Risk Evaluation to Achieve Cardiovascular Health (REACH)
  • Endocrine bone health
  • Cancer Survivor Endocrine program
  • Growth clinic

Learn more about the nationally ranked endocrinology and diabetes services at Cook Children's here.

Fetal Echocardiography/Fetal MRI

Download and print Fetal Echocardiography referral form:

There is one form to be used for fetal echocardiography referrals. Please use the corresponding information below to schedule and appointment and make the referral.

  • Fetal echocardiography
    To schedule a fetal echo, please call 682-885-4195.
    Fax order to 682-885-4164.
  • Fetal MRI
    To schedule a fetal MRI, please call 682-885-4076 and choose option 1 when prompted.
    Fax order to 682-885-3940.

Learn more about fetal echocardiography and fetal MRIs at Cook Children's here.

Gastroenterology and Nutrition Services

To refer a patient to a specialist at Cook Children's Gastroenterology and Nutritions Services program, please contact our schedulers at 682-885-1990.

Please fax medical records to 682-885-2510.

Our schedulers can help instruct you regarding specific information that will be required.

Learn more about the nationally ranked gastroenterology services at Cook Children's here.

Genetics

To refer a patient to a specialist at Cook Children's Genetics Program, please contact our schedulers at the corresponding numbers below:

Our schedulers can help instruct you regarding specific information that will be required

Learn more about genetic services at Cook Children's here.

Heart Center

Download and print referral forms:

There is one form to be used for cardiovascular conditions. For EKGs, forms are by location.

  • For cardiovascular conditions, please print and fax the Cook Children's Heart Center referral form, plus a copy of the patient's insurance card to 682-885-2316.
  • Complete sports EKGs are $25 with referral at our Abilene, Alliance, Denton, Mansfield, San Angelo and Southlake heart centers. Please have the patient bring a completed sports EKG referral to their appointment.

If you have questions, please feel free to contact us at 682-885-CARD (2273).

Learn more about the nationally ranked Heart Center at Cook Children's here.

Hematology and Oncology

Download and print referral forms:

For Hematology and Oncology referrals and infusion referrals, please print the form, complete the gray area of the form, and fax it to Cook Children's Hematology and Oncology at 682-885-2316.

If you have questions, please feel free to contact us at 682-885-4007.

Learn more about the nationally ranked Hematology and Oncology Center at Cook Children's here.

Infectious Disease

To refer a patient to a specialist at Cook Children's Infectious Disease Program for inpatient or outpatient services, please contact our schedulers at the corresponding numbers below:

Our schedulers can help instruct you regarding specific information that will be required.

Learn more about infectious disease services at Cook Children's here.

Nephrology & Dialysis

Download and print referral forms:

Please print and fax the Cook Children's nephrology referral form to 682-885-2874

To schedule a new patient, please call 1-866-266-7984.

For questions or assistance, please call our main number at 682-885-4260.

Learn more about nephrology & dialysis services at Cook Children's here.

Neonatology, Neonatal Intensive Care, NEST Developmental program

NICU: To refer a patient to Cook Children's Level IV Neonatal Intensive Care Unit (NICU), please contact our Teddy Bear Transport team at 1-800-KID-HURT (1-800-543-4878).

NEST Development Follow-up Program: To refer a patient to Cook Children's neonatal developmental follow-up program, please call 817-347-9601.

Learn more about the neonatalogy services at Cook Children's here.

Neurosciences

To refer a patient to a specialist at Cook Children's Neurosciences Center, please contact our schedulers at 682-885-2500. Once you have a confirmed appointment, please send demographics and records via fax to 682-885-2510. Our schedulers can help instruct you regarding specific information that will be required.

Learn more about the nationally ranked neurosciences services at Cook Children's here.

Ophthalmology

To refer a patient to a specialist at Cook Children's Alexander Vision Clinic ophthalmology program, please contact our schedulers at 682-885-4499. Our schedulers can help instruct you regarding specific information that will be required.

Learn more about the ophthalmology services at Cook Children's here.

Pain Management

Download and print referral forms:

To refer a patient to Cook Children's Pain Management Program, please print and fax the pain management referral form to 682-885-2510.

To schedule a new patient, please call 682-885-PAIN (7246).

Learn more about pain management services at Cook Children's here.

Pediatric Intensive Care

To refer a patient to Cook Children's Pediatric Intensive Care Unit, please contact our schedulers at 682-885-4268. Our schedulers can help instruct you regarding specific information that will be required.

Learn more about the pediatric intensive care services at Cook Children's here.

Pediatric Surgery

To refer a patient to Cook Children's Pediatric Surgery Program, please contact our schedulers at 682-885-7080. Our schedulers can help instruct you regarding specific information that will be required.

Learn more about pediatric surgery services at Cook Children's here.

Psychiatry and Psychology (Behavioral Health)

To refer a patient to Cook Children's Behavioral Health Program, please contact our schedulers at 682-885-3917. Our schedulers can help instruct you regarding specific information that will be required.

Learn more about the Psychiatry and psychology (behavioral health) services at Cook Children's here.

Pulmonology

Download and print referral forms:

Please print the Cook Children's pulmonology referral form and call 682-885-6299 to refer and schedule a new patient.

For added convenience we have also provided a link to our new patient information form which you can download and print.

Learn more about the pulmonology services at Cook Children's here.

Radiology

Download and print referral forms:

Please print and fax the Cook Children's radiology referral forms.

For Cook Children's Medical Center and Dodson Specialty clinics:
To schedule an outpatient procedure, or for assistance, please call us at 682-885-4076 - choose option 1.

For Cook Children's Northeast Hospital:
To schedule an outpatient procedure or for assistance call 817-605-2909, then fax referral to 817-605-2910.

Learn more about pediatric radiology services at Cook Children's here.

Rehabilitation

Download and print referral forms:

There are three referral forms for the Cook Children's Rehabilitation Program. These are general rehab, hand rehab and SPORTS/orthopedics. To refer a patient, please print and fax the appropriate Cook Children's rehab referral form to 682-885-7590.

For Cook Children's general rehab referrals:
Please attach face sheet/insurance sheet to referral.

To schedule an appointment for a new patient, please calling 682-885-3898.

Learn more about Cook Children's rehabilitation services here.

Rheumatology

Download and print referral forms:

To refer a patient to Cook Children's Rheumatology Program, please print and fax the Cook Children's rheumatology referral form to 682-885-1204.

To schedule a new patient, or for assistance, please call us at 682-885-1201, or toll-free at 1-855-241-1202.

Learn more about pediatric rheumatology services at Cook Children's here.

Additional Referral Forms

Home Health

Download and print referral forms:

To make a referral, call us at our locations listed below and a Cook Children's Home Health representative will assist you.

Referrals may be made 24 hours a day, seven days a week. Office hours are from 8:30 a.m. to 5:30 p.m., Monday through Friday. After hours, an answering service will connect referring physicians or clinicians to the on-call nurse.

Learn more about Cook Children's Home Health services here.

International referrals

Download and print referral forms:

To make a referral to Cook Children's International Program, and help us more fully understand your patient's needs, please complete the international referral form and return it to Cynthia Gonzalez, International Advisor at international@cookchildrens.org.

If you need assistance or have questions, our staff is here to help at 01-682-885-INTL (01-682-885-4685).

Learn more about the international program at Cook Children's here.

Teddy Bear Transport

Please contact our Teddy Bear Transport team at 1-800-KID-HURT (1-800-543-4878).

Our transport vehicles include a Cessna Citation Encore+ jet, King Air B200 critical care transport airplane, an American Eurocopter 145 helicopter and five ambulances.

Learn more about the neonatal intensive care services at Cook Children's here.