24 hour Crisis Intervention Hotline: 1-800-621-8504 (or call 903-472-7242)
Behavioral Health / IDD / Substance Use Centralized Intake: 1-800-669-4166
OSAR for Substance Use: 1-800-588-8728 (or call 940-224-6200) Wichita Falls and surrounding counties

LIDDA Intake Inquiry

Enter your contact information in the intake form below and we will contact you in 1 to 2 business days. This form is for Intellectual Development and Disability services. For all Behavioral Health, Substance Use, general and other requests, please use the Contact Us form.
( required field)*

Are you filling this form out for yourself or someone else?

Is this a crisis?

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First Name:

Middle Initial:

Last Name:

Date of Birth:

Social Security Number:

Guardianship

Address:

Address 2:

City

State

Zip Code:

Primary Phone

Secondary Phone

Referral Section

Comments:

Please allow 1 to 2 business days for follow-up.

LIDDA Intake Inquiry

Enter your contact information in the intake form below and we will contact you in 1 to 2 business days. This form is for Intellectual Development and Disability services. For all Behavioral Health, Substance Use, general and other requests, please use the Contact Us form.
( required field)*

Administrative Locations

Hours

Contacts and Links

LIDDA Intake Inquiry

Enter your contact information in the intake form below and we will contact you in 1 to 2 business days. This form is for Intellectual Development and Disability services. For all Behavioral Health, Substance Use, general and other requests, please use the Contact Us form.(* required field)

Enter your contact information in the intake form below and we will contact you in 1 to 2 business days. This form is for Intellectual Development and Disability services. For all Behavioral Health, Substance Use, general and other requests, please use the Contact Us form.
( required field)*