Group Intake Request

Appointment Request

Supportive Outpatient Group Intake Session
Prior to joining the Supportive Outpatient Program (SOP) group, clients must attend an intake session with one of our staff.

Complete this form to request an intake session. After you submit, a therapist will respond to you via email within 48 hours to complete your scheduling.
Name *

First Name Last Name
Email *

Confirmation Email example@example.com
Referral Name and Agency: If you were referred by your probation officer or case worker, enter their information here (e.g. Jan Smith, Denton Adult Probation)
Referral Name
Referral Agency

Denton County Adult Probation CPS None Other
Please provide any additional information you would like:
Should be Empty:

Appointment Request