Insurance, Fees & Forms
Family Houston accepts most health insurance plans including Medicare and Medicaid. To see a full list of accepted plans click here.
If you don’t have health insurance or you plan to pay for healthcare bills yourself, we are happy to provide you with a Good Faith Estimate in English or Spanish.
Family Houston is committed to quality care for all clients. You may view your Client’s Rights in English or Spanish.
Billing Contact Information
For claims/billing related questions:
(713) 861-4849
[email protected]
For initial visit for services, updated insurance, or client information:
(713) 861-4849
[email protected]
Intake and Consent Forms
The following forms serve as a reference so that you understand information that will be required from you when working with Family Houston for services. Required forms will be emailed to you for electronic signature after scheduling your appointment.
Clinical
Authorization for Disclosure of Client Record
Autorización para la divulgación del registro del cliente
Client’s Rights and Responsibilities
Derechos y responsabilidades del cliente
Telehealth Consent for Treatment (Adult)
Consentimiento de telesalud para tratamiento (adulta)
Telehealth Consent for Treatment (Child)
Consentimiento de telesalud para tratamiento (niño)
Consentimiento informado de telesalud
Community Support
Community Support Consent for Services
Consentimiento de apoyo comunitario para servicios
Financial Stability
Financial Stability Consent for Services
Formularios de admisión de estabilidad financiera
Veterans
Our Programs
$60
Covers the average cost of a mental health counseling session.
$120
In honor of our 120th anniversary, helps us continue providing assistance to those in need.
$500
Covers the cost of specialized Post Traumatic Stress Disorder counseling for a veteran.
$1000
Provides a full day of in-school mental health counseling for pediatric patients.