Price Transparency

Call (844) 424-4537

Background image for mobile

Refer A Patient

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

Browse Referral Specialtiesor

Patient Referral Forms - Children's Health

Autism and Developmental Disabilities (CADD)

Dallas

214-456-7700
888-848-2990

Plano

469-303-4787
888-848-2990

Submit the referral with the following records:

  • Patients: Age 0-3 years

    • Current patient/family demographics

    • Medical records including all MRIs, EEGs, and labs

    • Therapy evaluations/reports, including ECI

    • Completed developmental and Autism Spectrum Disorder screeners (ASQ-3, MCHAT, etc.)

  • Patients: Age 4+ years

    • Current patient/family demographics

    • Medical records including all MRIs, EEGs, and labs

    • Therapy evaluations/reports

    • Current school records:

      • Full Individual Evaluation (FIE)

      • Admission, Review, Dismissal (ARD -- including IEP)