THIS FORM IS INTENDED FOR INTERNAL AGENCY USE ONLY.
If you are looking for information about legal help, set up an intake appointment to speak with an advocate by calling our Outreach Office at 940-387-5131. If this is a crisis and you need to speak with someone right away, call our 24-Hour Crisis Line at 940-382-7273 or 800-572-4031.
Please answer the questions for each section in as much detail as possible. This will enable us to make a plan for the client that is right for their situation. If there are any required questions that do not apply to this client, mark it N/A.