Patient Referral Forms - Children's Health
Audiology
Dallas
214-456-8200888-848-4787
Fairview
214-456-8200214-867-5679
Park Cities
214-456-8200888-848-2990
Plano
214-456-8200888-848-2990
Prosper
214-456-8200888-848-2990
Additional Information
Only audiology - audiology order signed by provider
Ear, Nose and Throat (ENT) and Audiology
Dallas
214-456-8200888-848-4787
Fairview
214-456-8200214-867-5679
Park Cities
214-456-8200888-848-2990
Plano
214-456-8200888-848-2990
Prosper
214-456-8200888-848-2990
Additional Information
Visit notes
Labs or imaging (if available)
Audiology only - audiology order signed by provider
