Refer a Patient
The Texas Center for Pediatric and Congenital Heart Disease diagnoses, treats, and manages the care of children and adults with heart diseases and defects, including aortic coarctation, congenital heart disease, heart failure, pulmonary atresia, pulmonary valve stenosis, single ventricle defects, ventricular septal defects, and more. See a list of conditions we treat and services we provide.
To refer a patient to the Texas Center for Pediatric and Congenital Heart Disease, please choose from the following forms:
Please complete this online Texas Center for Pediatric and Congenital Heart Disease Referral Form. Or, you may choose to print and complete a hard copy of the referral form and fax it to 1-512-380-7532 or email it to DCMCHeartReferrals@ascension.org.
Please complete this online Heart Failure, VAD, and Transplant Program Referral Form. Or, you may choose to print and complete a hard copy of the referral form and fax it to 1-512-969-2725 or email it to email@example.com.
Submitting Clinical Documentation
To avoid delays in clinical care, all clinical documentation must be submitted prior to consultation. Please be sure to submit all pertinent clinical documentation, including images, via fax or email. Larger files, such as imaging studies, can be uploaded through the iConnect Web Uploader. For detailed instructions on how to upload your files through iConnect, please visit here.
You may also choose to mail your clinical documentation to:
Texas Center for Pediatric and Congenital Heart Disease
4900 Mueller Blvd., Austin, TX 78723
For any questions or additional information, please call 1-855-324-0091.
Partnering With You
Our team of experienced medical professionals deliver personalized, whole-person care as an extension of the services you offer your patients. We are committed to clear, timely clinician-to-clinician communication that begins with your patient’s first visit, proceeds throughout the care cycle, and concludes with an informed and efficient process that carries your patient back to you. Learn more about the Texas Center for Pediatric and Congenital Heart Disease.