- Review guidelines
To ensure that your patient receives the best possible care, please review the referral guidelines below and submit the requested information with the online referral form.
- Download and complete referral form
Complete the online form and go to Step 4, OR download and complete the following paper form.
- Fax form: 832-825-9315
- Provide patient with scheduling instructions
Please allow up to 10 business days for the referral to be processed.
If you have questions, please call this clinic directly at 832-822-1900.
If you are a referring provider’s office needing assistance, please contact the Provider Connect team, M-F 8a-5p, excluding holidays:
- Phone: 832-TCH-CARE (832-824-2273)
- Toll-Free: 877-855-4857
- Email: email@example.com