Download forms

Complete the OR scheduling and surgery consent forms for surgeries performed at Baylor Scott & White Health

Download OR scheduling form
Download surgery pre-op order set
Download surgery consent form

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 – Centennial

12505 Lebanon Rd
Frisco, TX 75035
Operator’s Phone: 469.764.8000

PAT Phone: 469.764.9151
OR Scheduler Phone: 469.764.8020

OR Scheduler Fax: 469.764.8021
OR Scheduler Email: centennialORscheduling@bswhealth.org

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

View referral options, resources and patient transfer information                                                                            Refer a patient