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Intake Appointment Request Form

Please ensure that this form is filled in its entirety.
Any missing information may hinder our ability to fulfill appointment request. 

Have you been a Spindletop Center client previously?
Appointment Time Preference
Do you have records that you can bring with you from a recent Mental Health Hospitalization?

Thanks for submitting, Spindletop Center will be in contact with you shortly.

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24-Hour Toll-Free Crisis Hotline: 1(800)937-8097

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