PALs Developmental Center

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Provider Forms
Consultation Form

Thank you for your interest in PALS Developmental Center.  Due to new insurance requirements we accept Consultations/Referrals from the patient's PCP only. 

Currently, we have such a long wait list for our Medicaid insurance slot we cannot accept any new Medicaid patients at this time.

Please verify the patient’s phone number before submitting the consultation.  We have found that a majority of the phone numbers we are given are incorrect.  This is causing us a great deal of delay processing consultations because we contact the patients before we give them an appointment.

Appointments are made in the order they are received.   

Our process is as follows:

  1. We receive a Consultation Request from the PCP.
  2. Consultations are assigned a tracking number within a week and emailed to the PCP contact listed on the form.
  3. In approximately 3 weeks, we make contact with the patient. We verify insurance and demographic information and schedule an appointment date and time.
  4. As soon as an appointment is setup we email the PCP the appointment date and time.
  5. The average wait time for a new appointment is about 3 months.
  6. 2-3 weeks after the appointment, Dr. Rogers will mail the PCP a copy of her note if they are not on the Texas Tech University Medical Center EMR system.

     

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