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Enroll in Services

I’ve made the decision to seek help. Now what?

How To Enroll In Services

To enroll in CHCS services, start by calling 210-261-CHCS (2427) to begin the process. A preliminary screening will be done to determine eligibility and level of need.

For routine appointments, please call 1-833-501-2427

The enrollment screening process is done Monday through Friday from 8 a.m. to 3 p.m. at:

Adult and Children’s Behavioral Health Enrollment Locations:

Paul Elizondo Adult Behavioral Health Clinic
928 W. Commerce, San Antonio, TX 78207
210-261-CHCS (2427)

Children’s Behavioral Health Clinic at Bandera
6812 Bandera Road, Suite 102, San Antonio, TX 78238
210-261-CHCS (2427)

How To Access Services

  • Valid Driver’s license (temporary, original or photo copy) Expired acceptable IF able to provide valid proof of residency
  • State Identification card (temporary, original or photo copy)
  • Student ID (HS or College) HS students accepted up to age 26
  • Birth certificate (required for Children’s services)
  • Notarized document of legally authorized representative (required for Children’s services)
  • Valid US passport or valid US Diplomatic passport
  • Permanent resident card (or) Certificate of Naturalization (or) Certificate of US Citizenship
  • US Indian Tribal Card
  • US government employee identification card
  • Non-government employee identity card/badge with photo and DOB
  • Marriage document showing name and date of birth
  • Credit/Debit card with photo
  • Texas Department of Criminal Justice (TDCJ) identification card
  • US Military identification card (DOD, Common Access Card, Active duty, retiree, national guard or dependent)
  • Social Security card/SSN verification from the SSA (original or photo copy)/Social Security Verification Letter
  • Voters Registration Card
  • Household bill (electric, telephone, water or cable)   
  • Lease agreement
  • Automobile insurance documents
  • Medicaid/Medicare letter
  • Attorney General letter
  • Food Stamp letter
  • Insurance letter
  • State Identification card (temporary, original or photo copy)
  • School ID (only eligible for students actively enrolled in high school – up to age 26)
  • TDCJ letter
  • Letter on letter head from agency that offers housing or shelter (PCY, H4H, Salvation Army, etc.)
  • Voter registration card
  • PO Box (Only if there is a valid Texas ID) **No longer able to use letter from family/friend for residency**
  • Check stubs for last 30 days showing name, date, employer and gross earnings
  • Wage verification from signed by employer
  • Document verifying sponsor, who must offer his/her sources of income and contact information
  • Bank statements, investment accounts and any other form of income
  • Final divorce decree showing amount of child/alimony support
  • Proof of retirement income or Federal
  • Income Tax return (completed form)
  • Copies of documents or checks from federal/state agencies
  • Texas Workforce Commission notice of benefits
  • Social Security disability award letter

Insurance Information/Status

Download General Advance Directive Brochure – English

Download General Advance Directive Brochure – Spanish

Proof of Guardianship

List of Medications

Once the registration process has been successfully completed, an intake screening will be provided on the same day or the next day.

What to Expect:

To begin receiving services with The Center for Health Care Services, there is a series of screenings to determine eligibility. Whether it is on the phone or in-person, the first step is to complete a short screening to check how you are doing in the moment – are there more intense needs that we can take of right now?

Once this is determined, a clinician will complete a clinical assessment to determine a person’s eligibility for The Center for Health Care Services (CHCS) services. This process may take up to 3 hours. If he/she qualifies for services, the clinician will work with the individual to establish outpatient services at a CHCS clinic. If they do not qualify for services, the clinician will provide an appropriate referral in the community.

We look forward to serving you! For more information about the Enrollment Process for adults or children, please call Monday through Friday from 8:30 a.m. to 5:30 p.m.

To discuss Enrollment please call: 210-261-CHCS (2427)

Translation services are available on request.

How We Help

Our outpatient clinics provide services based on your needs and goals. Your treatment team will work with you to assess your needs and make recommendations on what types of services may be of benefit to you. The outpatient treatment services we provide rely on your full participation: you are the active participant in your recovery! Our treatment teams believe that recovery is possible for everyone we serve and we look forward to the opportunity to work with you to meet your treatment goals.

Steps to Wellness

Step 1

Enrollment Process

Step 4

Medication Management Services

Step 2

Selection of Clinic

Step 5

Stabilization and Community Integration

Step 3

Care Management

Step 6


Frequently Asked Questions

Adult Outpatient Services are open to Bexar County residents who are 18 or older with a mental health diagnosis on our priority list as determined by Texas Health and Human Services. 

Child/Adolescent Outpatient Services are open to those 3 years or older with a mental health diagnosis or at risk of out of home/out of school placement. 

If you do not qualify for our services a clinician will provide you with an appropriate referral or resources to see someone else in the community.

CHCS embraces a comprehensive approach to treatment and recovery. Our outpatient treatment model brings other specialties and disciplines into the treatment team to help you achieve your recovery goals. Medication may help manage symptoms while you work with your treatment team to build and expand coping skills and self-care strategies for recovery.

Your interdisciplinary treatment is composed of individuals who work together to coordinate your medical, psychological, emotional, therapeutic, and recovery support needs, and may consist of a combination of medication, care management, counseling and nursing services. Your treatment team may consist of a combination of team members including, peers, family partners, care managers, licensed clinicians, nurses, and medical prescribers. You may meet with different members of your treatment team multiple times per month. Our outpatient treatment programs have proven to be effective for long term recovery. If these services are not for you, please let the clinician know you would like to be referred to a community-based provider.

A recovery plan is a written treatment plan that includes your current needs and strengths as well as goals to be achieved through treatment services which are identified by you and a care manager or licensed clinician.  Recovery plans are reviewed regularly and updated anytime a significant change in treatment occurs, or at a minimum every 90 days for children/adolescents, and every 6 months for adults. The Recovery Plan is reflective of what you and your treatment team have agreed is most important for your recovery and growth. It represents a focused commitment between you and the treatment team to work on specific tasks at a determined frequency and duration for the achievement of your identified recovery goals. 

The road to wellness is built on a partnership with the people we serve. The Center for Health Care Services offers comprehensive services, including:

  • meeting with a psychiatrist
  • medication and follow up care
  • wellness counseling and education
  • individual and/or group therapy
  • life skills education
  • care management
  • other services to support each person’s goals for recovery

Our team helps people with mental health challenges find hope, determine their path to wellness, and find their way to an independent, productive life.

The Center for Health Care Services accepts many insurance plans including Medicaid and Medicare. Payment of your estimated consumer portion is expected at the time services are provided. This includes deductibles, copays, and any other predetermined fees due for this visit. CHCS will not refuse services to a person based on inability to pay. You may qualify for financial assistance toward your payments. This qualification will be determined based on your income and family size. To determine the appropriate monthly fee, you must provide the required documents and complete a Financial Assessment. Please be prepared to show proof of insurance, proof of residency, and family income upon check-in.

View Monthly Ability to Pay Fee Schedule

CHCS will not refuse services to a person based on homelessness. CHCS agrees not to discriminate in the provision of services to an individual based on: the individual’s inability to pay; whether payment for those services would be made under Medicare, Medicaid, or CHIP; the individual’s race, color, sex, national origin, disability, religion, age, sexual orientation, or gender identity.

Your Time is Valuable!

At The Center for Health Care Services, we recognize the importance of your time and are committed to providing efficient and timely care Beginning February 1, 2024, The Center established prescriber scheduling instructions for quicker access to health care services.

For detailed instructions

If you have any questions or need additional information, please call CHCS or speak with your
Care Management team member Monday – Friday from 8:30 a.m. – 5:30 p.m.
at (210) 261-CHCS (2427).


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