Download forms
Complete the OR scheduling and surgery consent forms for surgeries performed at Baylor Scott & White Health
Instructions
- Download the OR Scheduling Form above. (If you have trouble opening the PDF when you click the link, you can download the form by right-clicking on a PC or control-clicking on a Mac to save the file to your computer.)
- Complete the form and print or save for your records.
- Select the SEND button at the top of the form.
- Select an option to attach the pdf to an email.
- Attach scans of the patient's driver's license.
- Attach scans of the front and back of the patient's insurance card(s).
- Send the email to the OR scheduler. The OR scheduler will email you a case confirmation and PAT appointment (if requested).
- Fax H&P, patient records and orders to PAT or HIM per your current process.
Hospital contacts
Baylor University Medical Center, part of Baylor Scott & White Health
3500 Gaston Ave.
Dallas, TX 75246
Operator's Phone: 214.820.0111
PAT Phone: 214.818.7798
PAT Fax: 214.818.9462
Scheduler's Phone: 214.820.2157
Scheduler's Fax: 214.820.4925
Baylor Scott & White Medical Center – Carrolton
4343 N. Josey Lane
Carrollton, TX 75010
Operator's Phone: 972.492.1010
PAT Phone: 972.394.2327
Scheduler's Phone: 972.512.7227
Scheduler's Fax: 972.394.2354
Baylor Medical Center at Uptown
2727 East Lemmon Ave.
Dallas, TX 75204
Operator's Phone: 214.443.3000
PAT Phone: 214.443.3068
PAT Fax: 214.443.3049
Scheduler's Phone: 214.443.3095 or 214.443.3020
Scheduler's Fax: 214.292.9337
Baylor Scott & White The Heart Hospital - Denton
2801 South Mayhill Road
Denton, TX 76208
Operator's Phone: 940.220.0600
PAT Phone: 469.814.4959
Scheduler's Fax: 214.818.2748
Baylor Scott & White All Saints Medical Center – Fort Worth
1400 Eighth Ave.
Fort Worth, TX 76104
Operator's Phone: 817.926.8544
PAT Phone: 817.922.1195
PAT Fax: 817.922.2196
Scheduler's Phone: 817.927.6233
Scheduler's Fax: 817.927.6231
Baylor Scott & White All Saints Medical Center – Fort Worth (Andrews Women's Hospital)
1400 Eighth Ave.
Fort Worth, TX 76104
Operator's Phone: 817.926.8544
PAT Phone: 817.698.8613
PAT Fax: 817.698.8791
Scheduler's Phone: 817.698.8613
Scheduler's Fax: 817.698.8611
Baylor Scott & White Medical Center – Grapevine
1650 W. College St.
Grapevine, TX 76051
Operator's Phone: 817.481.1588
PAT Phone: 817.388.3370
Scheduler's Phone: 817.424.4545
Scheduler's Fax: 817.329.2877
Scheduler's Email: GvORscheduling@bswhealth.org
Baylor Scott & White Medical Center – Irving
1901 N. MacArthur Blvd.
Irving, TX 75061
Operator's Phone: 972.579.8100
PAT Phone: 972.579.4340
PAT Fax: 972.579.5226
Scheduler's Phone: 972.990.8889
Scheduler's Fax: 972.990.8335
Baylor Scott & White Medical Center – McKinney
5252 W. University Drive
McKinney, Texas, 75071
Operator's Phone: 469.764.1000
PAT Phone: 469.764.5400
PAT Fax: 469.764.5109
Scheduler's Phone: 469.764.5110
Scheduler's Fax: 469.764.5109
GI Procedure Scheduler's Fax: 888.820.1728
Baylor Scott & White The Heart Hospital – McKinney
5268 W University Drive
McKinney, Texas, 75071
Operator's Phone: 469.814.3278
PAT Phone: 469.764.0608
Central Scheduling Phone: 469.814.3565
Scheduler's Fax: 469.764.3440
Baylor Scott & White Medical Center – Plano
4700 Alliance Blvd.
Plano, TX 75093
Operator's Phone: 469.814.2000
PAT Phone: 469.814.2600
PAT Fax: 469.814.2349
Scheduler's Phone: 469.814.5249
Scheduler's Fax: 469.814.2349
Baylor Scott & White The Heart Hospital – Plano
1100 Allied Drive
Plano, TX 75093
Operator's Phone: 469.814.3278
PAT Phone: 469.814.3721
Central Scheduling Phone: 469.814.3565
Scheduler's Fax: 214.818.6471
Baylor Scott & White Medical Center – Waxahachie
2400 North I-35E
Waxahachie, TX 75165
Operator's Phone: 469.843.4000
PAT Phone: 469.843.6230
HIM Fax: 469.843.4119
Scheduler's Phone: 469.843.6210
Scheduler's Fax: 214.818.7256
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