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Refer A Patient

To refer your patient to Children's Health, start by selecting a specialty. Then, access and complete the appropriate referral form.

Forms and Contact Information

Rehabilitation and Therapy Services

Allen

877-820-9061
877-820-9077
Allen Referral Form

Cityville

877-820-9061
877-820-9077
Cityville Referral Form

Dallas

877-820-9061
877-820-9077
Dallas Referral Form

Grapevine

877-820-9061
877-820-9077
Grapevine Referral Form

Irving

877-820-9061
877-820-9077
Irving Referral Form

North Rockwall

877-820-9061
877-820-9077
North Rockwall Referral Form

Plano

877-820-9061
877-820-9077
Plano Referral Form

Preston

877-820-9061
877-820-9077
Preston Referral Form

Waxahachie

877-820-9061
877-820-9077
Waxahachie Referral Form

Additional Information

  • Visit notes

  • Labs or imaging (if available)