Referring Provider Instructions

To refer your pediatric patient to Audiology, please complete the following steps.

  1. Download and complete referral form

  2. Fax form: 832-825-8940

  3. Provide patient with scheduling instructions

  4. Review and schedule
    After the referral is reviewed, the scheduler will call the patient to make an appointment.

If you have questions on the referral process for this clinic please call 832-822-3249.

Other Information

If you are a referring provider’s office needing assistance, please contact the Provider Connect team, M-F 8a-5p, excluding holidays:

  1. Phone: 832-TCH-CARE (832-824-2273)
  2. Toll-Free: 877-855-4857
  3. Email: