Refer A Patient – Dallas Web Site Patient's Name * Hospital * Baylor University Medical Center Baylor Scott & White Medical Center - Irving Baylor Scott & White Medical Center - Plano Baylor Scott & White Medical Center - The Heart Hospital (Plano) Baylor Scott & White Medical Center - Lake Pointe Baylor Scott & White Medical Center - McKinney Methodist Dallas Medical Center Methodist Charlton Medical Center Methodist Richardson Medical Center Texas Health Dallas (Presby Dallas) Texas Health Plano (Presby Plano) UT Southwestern Clements Hospital UT Southwestern Zale Lipshy Medical City - Las Colinas Room # (if known) Patient's home church or religious preference Person Making Referral * Phone or Email * Relationship to Patient * Your Home Church Additional Information
