Refer a Patient
To initiate a referral please use the Pediatric Referral Quick Reference to contact the provider or department.
Download referral forms for our specialty clinics and practices below.
- Dell Children’s Referral Form – Outpatient Specialty Clinics
- Audiology Referral Form
- Fracture Clinic Referral Form
- Epilepsy Referral Form
- Eye Care Referral Form
- Hand Clinic Referral Form
- Infectious Disease Referral Form
- Neurogastroenterology Referral Form
- Neurosurgery Referral Form
- Outpatient Nutrition Referral Form
- Sports Medicine Referral Form
- Surgery Scheduling Form
- Texas Center for the Prevention and Treatment of Childhood Obesity Referral Form
- Weight Management Referral Form