Refer a Patient to The Fetal Center

Working with the The Fetal Center

The mission of the The Fetal Center at Children's Memorial Hermann Hospital is to coordinate the care for high-risk pregnancy and for fetuses with congenital anomalies with genetic conditions. Imaging, fetal testing and sub-specialty appointments are all arranged by the Center, through a single phone call to the Center from the referring physician. A transfer of obstetrical care may be arranged at your request.

At the The Fetal Center, we make working with us as easy as possible for medical providers that refer their patients for care. When you refer a patient to us, the Center's physicians and coordinators will walk you through the process and keep you informed of your patient's status every step of the way.

Get Started

To refer a patient, fill out the form below or fax this form along with patient medical records, including labs, ultrasounds and patient demographics, to (713) 383-1464.

Online Form Downloadable Form

Direct Referral to The Fetal Center
Phone: (832) 325-7288
Toll free: (888) 818-4818
Fax: (713) 383-1464
Email: thefetalcenter@memorialhermann.org

Patient Information

Patient First Name: *

Patient Last Name: *

Patient Email Address: *

Patient Phone Number: *

Referring Physician Information

Referring Physician's Name: *

Physician Phone Number: *

Office Phone Number: *

Additional Patient Information

Gestational Age: *

Insurance/Policy Number (if available):

Estimated Date of Delivery *

Date of Birth: *

Referring Diagnosis:

Additional Information:*

Thank
You!

We have received your request to join the Children's TFC Refer a Patient. A team member will contact you shortly.

Located within the Texas Medical Center, The Fetal Center is affiliated with McGovern Medical School at UTHealth Houston, UT Physicians and Children’s Memorial Hermann Hospital.

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