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: *
Your answer
What is your title/license? *
Please list practice specializations (if any): *
Your answer
What service is provided? *
Required
Population served? *
Cost of Services: *
Your answer
Is sliding scale offered?
What type of insurance is accepted? *
Required
Is your organization inclusive of the faith/religious needs of a client? *
Please list all languages services are provided in: *
Your answer
Interested in touring HHCI? *
Please Note:
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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