Request an Appointment at Children’s Health℠ Specialty Center Bass Center 214-456-7000 Appointment Request Form Already a patient? Click here to login. Referring provider who wants to attach records? *Guardian's Name: Please Enter Guardian's Name *Patient's Name: Please Enter Patient's Name *Date of Birth: Please Enter Date of Birth *Gender: Male Female *Phone: Please Enter a Phone Number *Email Address: Please Enter an Email Address *Condition/Treatment: Please describe the specialty or service you are seeking. Please note doctor or location preference. Referring Provider Information: I want to receive health information emails from Children's Health. Please allow 2 business days for a response. Call 911 for emergencies.