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Get Started

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Guardian/Next of Kin

Email*

Phone number*

City*

State/Region*

Seeking Therapy*

In-Office Outpatient Therapy

In-Home Behavioral Services for Kids

Online Telehealth Therapy

Preferred True family services texas Office Location*

Insurance Coverage*

Medicaid

Texas Children Health Plan

United Healthcare

Superior Health Plan

Molina Healthcare

Aetna

Blue Cross Blue Shield

Cigna

None

Other

If selected "Other" as insurance coverage, please explain.

Age of the Person Needing Treatment*

Psychiatric History*

Medical History*

Are you having an emergency at this time?*

No

Yes

Are you or your child having homicidal or suicidal ideations at this time?*

No

Yes

Date of Referral*

Message/Reason for Treatment*

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Schedule a free consultation with one of our licensed therapists to discuss your needs and how we can support you.

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