Refer A Patient – Central Texas Company Patient's Name * Hospital * Arise Austin Medical Center (Austin) Ascension Providence Hospital (Waco) Ascension Seton Medical Center (Austin) Ascension Seton Medical Center (Hays) Ascension Seton Medical Center (Williamson) Ascension Seton Northwest Hospital (Austin) Baylor Scott & White Continuing Care Hospital (Temple) Baylor Scott & White McLane Children’s Hospital (Temple) Baylor Scott & White Medical Center (Lakeway) Baylor Scott & White Medical Center (Pflugerville) Baylor Scott & White Medical Center (Temple) Baylor Scott & White Medical Center Hillcrest (Waco) Baylor Scott & White University Medical Campus (Round Rock) Cedar Park Regional Medical Center (Cedar Park) Christopher House (Austin) Cornerstone Specialty Hospital (Austin) Cornerstone Specialty Hospital (Round Rock) Central Texas Rehabilitation Hospital (Austin) Dell Children’s Medical Center (Austin) Dell Seton Medical Center at the University of Texas (Austin) Encompass Health Rehabilitation Hospital (Austin) Encompass Health Rehabilitation Hospital (Round Rock) Heart Hospital of Austin (Austin) Northwest Hills Surgical Hospital (Austin) Olin E. Teague Veteran’s Hospital (Temple) Post-Acute Medical Rehabilitation Hospital (Round Rock) St. David’s Georgetown Hospital (Georgetown) St. David’s Medical Center (Austin) St. David’s North Austin Medical Center (Austin) St. David’s Round Rock Medical Center (Round Rock) St. David’s South Austin Medical Center (Austin) Texas Neuro Rehab Center (Austin) Westlake Medical Center (Austin) West Oaks Rehabilitation and Healthcare Center (Austin) Other Room # (if known) Patient's home church or religious preference Person Making Referral * Phone or Email * Relationship to Patient * Your Home Church Additional Information
