Texas Children's Cancer and Hematology Center What to Bring to Your First Appointment

Please bring as many of the following items as possible to the first appointment:

• Medical records of the patient (Release of Medical Information Form)
• Immunization records of the patient
• Any x-rays and/or scans that have been obtained (preferably on a CD if available)
• Pathology slides and paraffin blocks, if available
• Proof of insurance (Insurance Accepted by Texas Children's Hospital)
• A list of all medications your child is taking, including over the counter (OTC) medications and herbal remedies (alternative medicines)
• A list of all medications your child is allergic to
• The Social Security Number of the insurance holder to verify insurance coverage
• Please complete and bring the following forms:

English

History Form B
History Form D
Ethnicity Questionnaire

Español

Historial Pediatrico Custionaria Clinico
Cuestionario de Origen éthnico