| Refer a Patient |

Physicians Guide for Pediatric Orthopedic and Scoliosis Referrals
There are four criteria for becoming a patient at Texas Scottish Rite Hospital for Children, including obtaining a physician's referral for the treatment of an orthopedic condition, certain related neurological disorder or learning disorder, such as dyslexia.
Physician Referral Line: (214) 559-7559 or (800) 421-1121, ext. 7559
Nurses are available to answer your call Monday through Friday from 8 a.m. to 5 p.m.
Please have the child’s clinical records available, and be prepared to provide:
- Child’s name and date of birth
- Parent’s name, address and phone number (work and cell)
- Language spoken by parent/child
- Referring provider’s name, address, phone and license number
- Child’s developmental status, including:
- Is the child able to walk independently? If not, what assistance is needed?
- Is the child able to communicate verbally?
- Does the child have other developmental delays? If so, please describe.
- Diagnosis (View a list of common orthopedic referrals.)
- Date of onset
- Problem or need
- Pertinent exam findings/history (X-rays, medical records, etc.)
For more information, please contact Amber Schrantz, director of Patient and Physician Relations, at (214) 559-7607 or (800) 421-1121, ext. 7607. To obtain an application, please contact our Patient Access department at (214) 559-7477 or (800) 421-1121, ext. 7477. You may also e-mail questions about referring a patient to tsrhpa@tsrh.org.

