Admission Forms

Listed below are the WTRC Admission Forms required for treatment services at the Center. Click on the specific form you need below and complete prior to your first visit.  You may do this in one of two ways.  You can print it and complete it by hand OR you may type directly into the form and then print. If you are expecting to have a claim with your insurance provider, please bring all necessary documents with you to WTRC. If you need financial assistance with treatment services, please call 325.793.3406 (Abilene) or 325.223.6308 (San Angelo).

 

Adult Forms:

Pediatric Forms: