Our Global Health Services team will review your provided information and the child's medical records to recommend the best treatment plan for the child at Cook Children's Health Care System.
To help us more fully understand the patient's needs, please complete the international referral form below and return it to our clinical coordinators at firstname.lastname@example.org, or fax the form to Cook Children's Global Health Services at 01-682-885-3367.
Download referral forms
Referral form - English Referral form - Spanish
If you need assistance or have questions, our staff is here to help at 01-682-885-4685.