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Refer/Admit a Patient

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.

Emergency referrals

For emergency referrals

Main campus - Fort Worth, call 682-885-3901 or 1-800-543-4878.

Prosper campus, call 945-204-4400 or 1-800-543-4878.

Physician consults

Cook Direct Connect is a full-service physician call center available to better serve the treating clinicians consultations, direct admissions and non-emergent transfer requests. Please call 682-885-1940, or toll-free at 855-847-4266 if you are a physician needing to speak directly to another physician.

Call on us - referral guide and specialty contacts

For a listing of referral contacts by department you can view, download and/or print our quick reference contact guide.

Fort Worth specialties guide Prosper specialties guide

Regional specialties guide

Referral forms and contact numbers

Audiology

Download referral form

Bariatric Surgery Program

Download referral form

Behavioral Health (Psychiatry/Psychology)

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-3917.

Learn more about Cook Children's Behavioral Health.

Cardiology

See Heart Center

CARE Team

If you have questions, please feel free to contact us at 682-885-3953.

Learn more about Cook Children's CARE Team.

Complex Care Clinic

Download consult/referral form Call for assistance

If you have questions, please feel free to contact us at 682-303-6650.

Learn more about Cook Children's Complex Care Clinic.

Craniofacial, Cleft, Plastic and Reconstructive Surgery

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-7770.

Learn more about Cook Children's Cleft, Craniofacial and Plastic Surgery.

Dentistry

If you have questions, please feel free to contact us at 817-347-4600.

Learn more about Cook Children's Dentistry.

Dermatology

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-6248.

Learn more about Cook Children's Dermatology.

Developmental Pediatrics

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-303-9300.

Learn more about Developmental Pediatrics.

Ear, Nose and Throat

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us:

Learn more about Cook Children's Ear, Nose and Throat.

Endocrinology

Download consult/referral form Call for assistance Locations

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

  • Endocrinology
  • Diabetes
  • Hyperinsulinism Center 682-885-7960
  • Risk Evaluation to Achieve Cardiovascular Health (REACH)
  • Endocrine bone health
  • Cancer Survivor Endocrine program
  • Growth clinic

If you have questions, please feel free to contact us:

Learn more about Cook Children's Endocrinology.

Fetal Center

Download consult/referral form Call for assistance

If you have questions, please feel free to contact us at 682-885-2158.

Learn more about Cook Children's Fetal Center.

Gastroenterology and Nutrition Services

Referral form - Fort Worth/Prosper Referral form - Lubbock Call for assistance Locations

If you have questions, please feel free to contact us:

Learn more about Cook Children's Gastroenterology.

Genetics

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us:

Learn more about Cook Children's Genetics.

Gynecology

Download consult/referral form Call for assistance Locations

Gynecology is currently not accepting new patients. We're sorry for the inconvenience.

If you have questions, please feel free to contact us:

  • Pediatric and Adolescent Gynecology
    682-303-0800 phone
    682-303-0794 fax

Learn more about Cook Children's Pediatric and Adolescent Gynecology.

Heart Center

Download consult/referral form Call for assistance Locations

Additional referral forms:

If you have questions, please feel free to contact us:

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

Hematology and Oncology

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us:

at 682-885-4007.

Learn more about Cook Children's Hematology and Oncology.

Infectious Disease

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us:

Learn more about Cook Children's Infectious Disease.

Lab Services

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-4300.

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

Maternal Fetal Medicine

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-4300.

Learn more about Cook Children's Maternal Fetal Medicine.

Neonatal Intensive Care Unit referral/admittance

Download consult/referral form Download NEST referral form Call for assistance

If you have questions, please feel free to contact us at 1-682-885-3901 or 1-800-543-4878.

Our Level IV all-single room neonatal ICU provides heart rate observation (HeRO) technology, ECMO and hypothermia therapies, as well as integrated cardiac monitoring, infant stroke, preemie care, and other critical neonatal medical conditions.

If you require a patient transport to Cook Children's NICU, please contact Teddy Bear Transport:

Nephrology

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us:

  • Dodson Clinics - Fort Worth
    682-885-4260.
  • Specialty Clinic - Prosper
    682-303-4200

Learn more about Cook Children's Nephrology & Dialysis.

Neurosciences

Download consult/referral form Call for assistance Locations

Additional referral forms:

If you have questions, please feel free to contact us:

  • Dodson Clinics - Fort Worth
    682-885-2500
  • Specialty Clinic - Prosper
    682-303-4200

Learn more about the nationally ranked Jane and John Justin Neurosciences Center.

Neuropsychology

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-2500.

Learn more about our Neuropsychology Program.

Orthopedics

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-4405.

Learn more about Cook Children's Orthopedics.

Pain Management

Download consult/referral form Call for assistance Locations

Sign-up for news!

If you have questions, please feel free to contact us at 682-885-7246.

Learn more about Cook Children's Pain Management.

Palliative Care

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-1116.

Learn more about Cook Children's Palliative Care.

Pathology and Laboratory Medicine

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-4847.

Learn more about Cook Children's Pathology and Laboratory Medicine.

Pediatric Surgery

Download consult/referral form Circumcision referral form Call for assistance Locations

If you have questions, please feel free to contact us:

Learn more about Cook Children's Pediatric Surgery.

Plastic Surgery

See Craniofacial, Cleft, Plastic and Reconstructive Surgery

Pulmonology

Download consult/referral formDownload the ExRC referral formCall for assistance Locations

If you have questions, please feel free to contact us at 682-885-6299.

Learn more about Cook Children's Pulmonology.

Radiology/Interventional Radiology

Referral form - Radiology Call for assistance Locations

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.

Cook Children's Radiology Center - Hurst:
To schedule an outpatient procedure or for assistance call 682-885-4076, then fax referral to 817-605-2986.

Cook Children's Medical Center and Radiology Center - Prosper:
To schedule an outpatient procedure or for assistance call 945-204-1660

Learn more about Cook Children's Radiology.

Rehabilitation

Download consult/referral form Hand therapy referral formSwallow function referral formAudiology referral formCall for assistance Locations

If you have questions, please feel free to contact us at 682-885-7590.

Learn more about Cook Children's Rehabilitation.

Rheumatology

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-885-1201.

Learn more about Cook Children's Rheumatology.

Sleep Center

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us at 682-303-1300.

Learn more about Cook Children's Sleep Center.

Sports Medicine

Download consult/referral form Call for assistance Locations

Additional referral forms:

If you have questions, please feel free to contact us at 682-885-4405.

Learn more about Cook Children's Sports Medicine.

Transport a patient

If your patient needs to be transferred to Cook Children's Medical Center from a different medical facility, please call 682-885-3901 or 1-800-543-4878.

Our medical team is always ready for consultation and transport arrangements by jet, plane, helicopter or ambulance, all equipped to meet the needs of patients from the tiniest preemies to young adults.

Call Teddy Bear Transport 1-800-543-4878

 

Trauma

Download consult/referral form Call for assistance Locations

If you require a patient transport to Cook Children's, please contact Teddy Bear Transport:

If you have questions, please feel free to contact us at 682-885-4093.

Learn more about Cook Children's Trauma.

Urology

Download consult/referral form Call for assistance Locations

If you have questions, please feel free to contact us:

Dodson Clinics - Fort Worth
682-303-0376

Specialty Clinic - Prosper
682-303-4200

Learn more about Cook Children's Urology.

Wound Care

Download consult/referral form Call for assistance Locations

Outpatients from Cook Children’s physicians
Place burn/wound care referral through EPIC. Select "Wound Care Referral."

Outpatients from other facilities
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.

If you have questions, please feel free to contact us:

Learn more about Cook Children's Wound Care.

Important phone numbers for referring physicians

 

Insurance information

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.

Did you know that Cook Children's also offers a health plan that may help your patients access the care they need? Learn more about Cook Children's Health Plan here.