• We tell you the different ways we can help you.
• We ask you to come to one of our clinics to learn more about the different ways we can help you.
• We have several easy to find locations. Some locations have walk-in appointments. 

You meet with a licensed professional to determine how we can help you. Wait times can vary.
You complete forms about yourself, including your health and finances.
You sign some documents to get care from us:

• Treatment Consent Agreement / Form (This tells us you want help from Lakes Regional Community Center.)
• Notice of Privacy Practices (This tells you how your medical information may get used and shared.)
• Financial Agreement Form (This shows that the financial information you gave us is correct. This shows you got a copy of the amount you will pay for help. This also shows that you agree that you will pay for any service your insurance or other payer does not pay.)

If we help you with intellectual and developmental disabilities, you take an IQ test. This helps us know if you qualify for services.
If you qualify for help from Lakes Regional Community Center:

• You get a mental or physical healthcare provider, service coordinator, case manager or therapist, depending on the services you will receive.
• You get a follow-up appointment to begin services.

A Photo ID

• Please bring: a photo ID, social security card, passport and/or birth certificate.

Please bring your Legal Guardian if you are:

• 17 years or younger
• An adult with a guardian (Please note: Guardians must bring legal paperwork that shows them as the guardian.)

Any medical history papers about your mental health, psychological or IQ testing

Proof of your address such as utility bill or Texas ID

Proof of insurance such as Medicaid, Medicare and/or private insurance (if applicable)

• We need this for your financial assessment.

Proof of income such as tax returns, recent pay stubs or social security award letter, SNAP benefits award letter.

• We need this for your financial assessment.

If there is no income, Lakes Regional Community Center requires a verification of assistance form.

Lakes Regional Community Center takes many forms of payment.
We offer a sliding fee scale, accept Medicaid, Medicare, and private insurance. We provide help even if you’re unable to pay.

To qualify for help, you must fill out a financial form.
You pay for services based on your ability to pay.
Your insurance pays for services if you have insurance.
You give Lakes Regional Community Center permission to seek payment from your health insurance. This may include:

• Medicare
• Medicare Advantage Plans
• Children’s Health Insurance Program (CHIP)
• Texas Medicaid including Managed Medicaid Programs – STAR, STAR Plus, STAR Kids
• Private Health Insurance Plans

If your insurance has co-pays, you must pay your co-pay for each service.

We base your fees for services on what you are able to pay.

You can pay in-person at your Lakes Regional Community Center clinic.
You can mail your payment when you get your bill for services.

Lakes Regional Community Center takes pride in giving expert services to our community. If you feel that your rights are being violated, please click here to send an email to our Rights Officer, Kristalyn Brewer. You may also call her at 972.388.2000, ext 1148.