Texas Integrated Care Group partners with physicians, hospitals, specialists, home health agencies, case managers, and healthcare organizations to provide coordinated internal medicine and chronic disease management services for adults requiring long-term medical support.

Our integrated care model combines physician-led internal medicine, chronic care coordination, remote patient monitoring, and in-house clinical pharmacy services to help improve patient outcomes, medication safety, and continuity of care.

Please complete the referral form below and a member of our team will contact the patient to coordinate scheduling and follow-up care.

REFERRING PROVIDER INFORMATION

Preferred Contact Method *

PATIENT INFORMATION

INSURANCE INFORMATION

REFERRAL DETAILS

Recent Hospitalization? *
Services Requested *

MEDICATION & CLINICAL INFORMATION