Brachial Plexus Program

Referring Provider Instructions

To refer your pediatric patient to the Brachial Plexus Program, please complete the following steps.

  1. Download and complete referral form

  2. Fax form: 832-824-7333

  3. Provide patient with scheduling instructions

As your Specialty Clinic Coordinator, I would like to welcome you to the Texas Children’s Brachial Plexus Program. As the Clinic Coordinator and Certified Hand Therapist, my role is to assist physicians and families in making appointments, to help manage follow-up care, to track progress through serial evaluation, and also to supervise the provision of therapy services to ensure our patients are receiving the care they require. I can be contacted by phone or email should you have any questions. 

James H. Northcutt, OTR, MOT, CHT
Brachial Plexus Clinic Coordinator - Certified Hand Therapist
Ph. 832-822-6378

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: