A Therapeutic Residential Community    
 
Our Admissions Department   

If a child in your care is experiencing emotional or behavioral difficulties,
please contact our admission team.  We have served children and adolescents for
60 years and we are here to assist you through the referral process.


 Let our expertise work for you!
(800)843 - 6257 or (512)464 - 0448
If you prefer we contact you, simply complete the form below and
we will contact you in regards to your child within 1 business day.

For life threatening situations or medical emergencies,
including danger to self or others, please call 911 first.

Contact Information

Treatment for:
Relation to you:
Name:
Email:
Address:
City, State, Zip:
Phone:
How would you like us to contact you? 
 Phone
Email

Prospective Patient Info:

Seeking Treatment:
 Immediately
Soon
Just Interested in Information
Date of Birth:
Primary Diagnosis:
Tell us about any other issues: 
Specify any Medications:
Insurance Coverage:
 Yes
No
Name of Insured:
Policy / ID #:
Group #:
Insurance Phone #
Other Comments:
To make a referral or inquire
about our services please call
800-843-6257
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