• SANTA MARIA HOSTEL, INC.

    SCREENING FORM
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  • Please provide some additional information to help us determine eligibility for specialized specialized services we offer.

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  • Thank you

    Thank you for completing this form. We look forward to supporting you on your road to recovery. A member of our admissions team will contact you to complete your screening.
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    We have recently moved our intake screening form.

    Please visit the link here to start the admission process. 

  • If you are in need of immediate help for a psychiatric emergency please call 911 or the NeuroPsychiatric Center (NPC) at 713-970-7070.
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