Hello, and thank you in advance for completing and sending us these forms.
Please complete these forms and submit. Encrypted. You can save as you go — stop and resume.
- Psychosocial History
- Medical History
- Demographic Information
- Release of Information
- What to Bring
If you cannot complete online, then please print and complete.
- Email / scan to us at: [email protected]
- Fax to us at: (512) 528-2193
- Mail to us at:
Meridell Achievement Center
PO Box 87
Liberty Hill, TX 78642
ATTN: Intake Services
If you want assistance please call us at (800) 366-8656 and ask for Intake Services.
Our Intake Services hours are Monday to Friday, 8:30 a.m. to 5:00 p.m. Central Time.
If you call after hours, please leave a message for the next weekday.