Referral Form

Currently, we are only able to provide services to Superior Health Plan Members who live in the San Antonio Area


The youth must be at least three years of age or older.


The youth must be enrolled in Medicaid and one of our excepted provider plans listed in the chart below


The youth must reside in a county where our services or provided below.


The youth must have a qualifying mental health diagnosis and undergo an initial assessment by our provider

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