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Referral form for outside agencies to refer clients to The Open Door.

At The Open Door, all information is kept confidential and your permission is necessary to release information to outside persons, except for the limitations required by the laws of the state of Texas. Click on this form to download our Authorization To Release Information. We won't share client info without one!

REFERRALS

AUTHORIZATION TO RELEASE INFORMATION

CISCO

1906 TX HW 206

Cisco, TX 76437

(254) 442-3000

SUBSCRIBE TO JOIN OUR MAILING LIST

BRECKENRIDGE

110 N Live Oak St

Breckenridge, TX 76424

(254) 559-4045

Thanks for submitting!

OPERATING HOURS

Monday:

Tuesday:

Wednesday: 

Thursday: 

10 am - 5 pm 

10 am - 8 pm

10 am - 5 pm

10 am - 8 pm

Available 24 hours per day. 

Don't hesitate to contact us!

After Hours Helpline

(800) 712 - 4357

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