Emergency Baptism Emergency Baptism Form Your Email Hospital or Institution Name Please Select from Dropdown Baylor Scott & White Medical Center - Centennial (St. Francis of Assisi, Frisco) Baylor Scott & White Medical Center – Dallas (St. Edward) Baylor Scott & White Medical Center - Frisco (St. Francis of Assisi, Frisco) Baylor Scott & White Medical Center - Irving (St. Luke, Irving) Baylor Scott & White Medical Center - Lake Point (Our Lady of the Lake, Rockwall) Baylor Scott & White Medical Center - McKinney (St. Gabriel the Archangel, McKinney) Baylor Scott & White Medical Center - Plano (Prince of Peace, Plano) Baylor Scott & White Medical Center - Sunnyvale (Divine Mercy, Mesquite) Baylor Scott & White Medical Center - Waxahachie (St. Joseph, Waxahachie) Baylor Scott & White Medical Center & Heart Hospital - Plano (Prince of Peace, Plano) Baylor Scott & White Surgical Hospital at Las Colinas (St. Ann, Coppell) Baylor Scott & White Surgical Hospital at Sherman (St. Mary, Sherman) Carrus Specialty & Rehabilitation Hospitals (St. Mary, Sherman) Children's Medical Center Dallas (Holy Trinity) Children's Medical Center Plano (Prince of Peace, Plano) City Hospital at White Rock (St. Bernard) Crescent Medical Center Lancaster (St. Francis of Assisi, Lancaster) Dallas Medical Center (Farmers Branch) (Mary Immaculate, Farmers Branch) Dallas Regional Medical Center, Mesquite (Divine Mercy, Mesquite) Dallas VA Medical Center (Holy Cross) Ennis Regional Hospital (St. John, Ennis) Garland VA Medical Center (Good Shepherd, Garland) Kindred Hospital Dallas Central (St. Thomas Aquinas) KPC Promise Hospital of Dallas (Our Lady of Perpetual Help) LifeCare Hospital of Dallas (Our Lady of Perpetual Help) LifeCare Hospital of Plano (Prince of Peace, Plano) Medical City Dallas Hospital (St. Paul the Apostle, Richardson) Medical City Frisco (St. Francis of Assisi, Frisco) Medical City Las Colinas [Irving] (St. Ann, Coppell) Medical City McKinney (St. Michael the Archangel, McKinney) Medical City Plano (St. Mark the Evangelist, Plano) Methodist Charlton Medical Center (Holy Spirit, Duncanville) Methodist Dallas Medical Center (Blessed Sacrament) Methodist McKinney Hospital (St. Gabriel the Archangel, McKinney) Methodist Midlothian Medical Center – (St. Joseph, Waxahachie) Methodist Richardson Medical Center (St. Mark the Evangelist, Plano) Navarro Regional Hospital ( Immaculate Conception, Corsicana) Parkland Health & Hospital System (Holy Trinity) Sam Rayburn Memorial Veterans Center [Bonham] (St. Elizabeth, Bonham) Texas Health Presbyterian Hospital Allen (St. Jude, Allen) Texas Health Presbyterian Hospital Dallas (St. Thomas Aquinas) Texas Health Presbyterian Hospital Frisco (St. Francis of Assisi, Frisco) Texas Health Presbyterian Hospital Kaufman (St. Ann, Kaufman) Texas Health Presbyterian Hospital Plano (Prince of Peace, Plano) Texas Health Presbyterian Hospital Rockwall (Our Lady of the Lake, Rockwall) Texas Scottish Rite Hospital for Children (Holy Trinity) Texoma Medical Center (St. Patrick, Denison) TMC Bonham Hospital (St. Elizabeth, Bonham) UT Southwestern University Medical Center (Our Lady of Perpetual Help) Vibra Hospital of Richardson ( St. Mark the Evangelist, Plano) Vibra Specialty Hospital at DeSoto (Holy Spirit, Duncanville) William P. Clements Jr. University Hospital (Our Lady of Perpetual Help) Wilson N. Jones Regional Medical Center (St. Mary, Sherman) Zale/Lipshy University Hospital (Holy Trinity) Buster Cole State Jail (St. Elizabeth, Bonham) Choice Moore Transfer Facility (St. Elizabeth, Bonham) Hutchins State Jail (St. Francis of Assisi, Lancaster) Seagoville Federal Prison (St. Augustine, Dallas) Date of Baptism Name of Baptized Child Mother's Full Maiden Name Father's Name Born in City State Birthday (Month, Day, Year) Was the baptism performed according to the Rite of the Roman Catholic Church? Yes No Was an Emergency Confirmation performed by a Catholic Priest? Yes No Baptized By Parents Permanent Address Parent Phone No. Name of Catholic Witnesses Parents Email Address As Recorded in the Sick Call Register of this Medical Center Send PLEASE NOTE In the case of emergency sacraments performed when in danger of death, the Sacrament of Confirmation can only be supplied by a Catholic Priest/Bishop. Please see Emergency Baptism/ Confirmation Memo for more information. RESOURCES Also See Summary Regarding Emergency Baptism and Confirmation of Infants and Adults Emergency Confirmation Memo Handbook of Sacramental Records [see "Baptismal Records"] Questions? Message Us Name Email Telephone Message Send