Make a Referral

Qualifications for acceptance into the Care Coordination program and Medical Home include:

• Child has two or more chronic conditions that require active management, cause functional limitations, and/or decrease life expectancy
• Child’s care involves at least three specialists
• Child is possibly dependent on technology (tracheostomy, G-tube, VPS, central line etc.) and/or requires private duty nursing
• Child has one or more admissions in the past two years and/or one or more emergency room visit in the past year

The Complex Care Medical Services Coordination Program and the Medical Home are located at Children’s Health℠ Children’s Medical Center Dallas.

If you feel this program could be of assistance to your patients, please contact us at

• Phone: 469-488-7200
• Email: complexcare@childrens.com

Helpful forms:

• Complex Care Referral Form (PDF)
• Request for Release of Protected Health Information - English (PDF) and Spanish (PDF)
• Authorization for Protected Health Information - English (PDF) and Spanish(PDF)