Appointment Form
To initiate service, please complete the following form. A representative will call within one business day to confirm the request. If you are able to come to any of our offices, an appointment will be scheduled at that time. If you are in need of home or school based service and are enrolled in the Medicaid program, an appointment will be scheduled within two business days.
We accept most insurance including Medicare, Medicaid, Aetna, Blue Cross Blue Shield, Amerigroup, United Health, Optum, Molina, Beacon Health, Texas Children, Superior Health, Ambetter, Cigna, Wellcare, Humana, Tricare, Value Options, American Behavioral, EAP, Community Health Choice, etc..
Your answers to the following questions are kept in the strictest confidence and will be used to assign a clinician with experience in working with your specific needs.