Child & Family Guidance Center of Texoma : Contact Us : Appointment Request

Requesting an appointment with the Child & Family Guidance Center of Texoma is the first step to receiving help, hope, and healing. If you would like to make an appointment, have questions, or need more information, please fill out the form below or give us a call at 903-893-7768 and our intake coordinator will contact you within 48 business hours. Thank you for trusting CFGC with your journey of healing.

If you are experiencing a mental health crisis please call 911 or go to your nearest emergency room.

Name

First Name *

Last Name *

Phone (Required)

Phone Number

Text Appointment Reminders

Do you want appointment reminders via text? (Message and data rates may apply.)

Email Address (Required)

Email Address

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Please enter the name of the county in which you reside (Required)

County of Residence

Insurance Provider (Required)

Please select your insurance provider from the list below.

Other Insurance Provider

Please enter your insurance provider if it is not listed above.

Insurance ID Number

If applicable, please enter your insurance ID number.

Preferred Callback Time

Please select a preferred callback time between 8:00 am - 5:00 pm.

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Reason for Request (Required)

Please briefly explain why you are requesting an appointment with CFGC.

Request an Appointment