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Therapy Request

All information provided in this form will be submitted directly to the Jewish Family & Children's Mental Health Program and will be kept strictly confidential. If this is an emergency please call 911 or the 24 hour helpline at 713-970-7000 or text "START" to 741-741. All requests submitted will be followed up within one business day.

JFS seeks to provide services to the 29 surrounding zip codes. To maintain the best, ethical and clinical practice, and to ensure greatest level of confidentiality to protect our clients, JFS employees, JFS board members, and/or their family members will be referred elsewhere for most services. JFS intake staff members will assess, consult and make appropriate referrals for those that we cannot directly serve.

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