Professional Referral Network
We welcome the chance to include you in our local professional referral network. By completing the form below, you'll not only receive relevant information about the Hope and Healing Center & Institute's work, but you'll also be contacted about the opportunity to be included in our professional referral database. The professional referral database will allow our staff to refer individuals to you and your organization in the Houston area to aid them in their mental health journey. Someone from our team will follow up with all requests as soon as possible.
Agency/ Practice Name:
What is your title/license?
Licensed Social Worker
Licensed Professional Counselor
Licensed Chemical Dependency Counselor
Please list practice specializations (if any):
What service is provided?
Assessment & Testing
CBT-Cognitive Behavioral Therapy
DBT- Dialetical Behavorial Therapy
Emergency Services (Crisis Centers)
Inpatient Mental Health
Outpatient Mental Health
Children & Adults
Cost of Services:
Is sliding scale offered?
What type of insurance is accepted?
Blue Cross Blue Shield (HMO/PPO)
United Health Care (HMO/PPO)
Is your organization inclusive of the faith/religious needs of a client?
Please list all languages services are provided in:
Interested in touring HHCI?
A HHCI staff member will contact you to review your recorded responses. HHCI will then determine if your organization will be included in our referral network. Thank you!
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