Complete the following form if you are interested in receiving more information about our services. Please note, the individual interested in services must complete the form.

For school or professional referrals, please use the Professional Referral link at the bottom of the page.

The Center is NOT an emergency/crisis facility. If you or someone you know is suicidal or homicidal or in any emergency situation, call 911 or go to the nearest hospital emergency room. You can also call the Center for Health Care Services 24-hour Crisis Hotline at (1-800-316-9241 or 210-223-7233); United Way by dialing 211; or Suicide Prevention Lifeline at (1-800-273-8255) available 24 hours a day.