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Complete this quick verification form and we will get back to you with information on how to start your treatment journey with us.

We are currently accepting the following Insurance Carriers: Superior Health Plan, Molina Health, Wellpoint/Carelon, Coming Soon: Texas Children’s Health Plan

Fill out one form for each person who would like to start services (example: multiple siblings)

If you already know you want to start right away,

Complete this full intake form to quickly get an initial appointment

Fill out one form for each person who would like to start services (example: multiple siblings) We will call you within 2 business days to schedule your first appointment.

Please Fax Any Records Related To Referrals To: 281-503-7905 Or Secure Email: aburns@alpharecoverytexas.com

Make a Referral, Sign Up for Services

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