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Call the UT Southwestern Medical Center® Clinical Referral Network toll-free, physician-to-physician line to be connected with a referral line within the appropriate clinical area or department: 1-800-888-8678; in Dallas, 214-648-8678.
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| To refer a patient |
| Physician referrals of patients can be initiated by telephone, e-mail, fax, or mail to the information listed below. Referrals may be made Monday through Friday, 8:00 a.m. until 5:00 p.m. |
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| Phone (214) 648-8495 |
| Fax (214) 648-8483 |
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| UT Southwestern |
| 5303 Harry Hines Blvd. |
| 7th Floor, Suite 108 |
| Dallas, Texas 75390-9167 |
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| Information needed for referral: |
| • Patient's name, address, phone number |
| • Date of birth (if applicable) |
| • Pertinent medical information |
| • Insurance information (if available) |
| • Referring physician's name, address, telephone and fax numbers |
| • Reason for referral, area to be evaluated, test(s) being ordered. |
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| After you make a referral |
| A UT Southwestern employee will call your patient to pre-register him or her and to schedule an appointment. Or, the patient will be asked to fill out registration forms when they arrive for their first appointment. |
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| Information needed to begin: |
| • Patient's name |
| • Address |
| • Date of birth |
| • Social security number |
| • Home and work phone numbers |
| • History/symptoms/diagnoses; reason for exams; area to be evaluated |
| • Prior medical records or address(es) to request records |
| • Insurance information |
| • Referring physician's name, address, telephone and fax numbers |
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| Information from previous evaluations and X-rays/scans should be sent prior to or should accompany the patient at the time of consultation. |
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| If you would like to fill out your paperwork before your consultation, you may print the "Patient Confidential Health Questionnaire" to complete and bring with you from the link provided. |
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| When the examination and/or other studies are complete, you will be notified of the results. We encourage your continued participation in your patient's care. |
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