To request our services, do not use this form but instead please call our intake line Monday through Friday, 9:00 am to 4:00 pm or go to to apply online.

If you need copies of our brochures or handouts mailed to you, please call 512-454-4816.

If you would like to request our legal advocacy services, please DO NOT USE THIS FORM but instead please call 1-800-252-9108 or go to our online intake form for assistance.

If you need to contact us for another reason, please complete the following form:
  • Name * Required
  • Email * Required
  • I am interested in getting information on the following: * Required

To request our services after the holiday break, call Monday through Friday, 9:00 am to 4:00 pm.


1-866-362-2851 Sign Language Video Phone

(512 271-9391 Purple 2 Video Phone

To apply for services online 24/7, go to

Regional/Satellite Office Numbers

Office Hours are Monday through Friday, 8:00 am to 5:00 pm.

Headquarters/Central Texas

(512) 454-4816

North Texas

(214) 630-0916

West Texas

(806) 765-7794

East Texas

(713) 974-7691

El Paso Area

(915) 542-0585

South Texas

(210) 737-0499