We serve Central Texas families with special needs from birth – 21. Families must have valid insurance and diagnosis/diagnoses provided by ECI or a doctor. Required paperwork must be completed to receive services, including Diaper Week and respite centers. Optional paperwork can be completed for services including reimbursement for respite, medical equipment, therapy, and other special needs expenses.

Paperwork can be submitted via:

Office: 204 N. East Street, Suite F, Belton TX 76513
Fax: (254) 933-7313
Email: csnn@special-children.org

Form Purpose
CSNN Services Packet 2019 and Checklist Information on our services for 2019
Client Info Form REQUIRED – receive services

Request Support and Expense Voucher

Optional – request reimbursement for medical/therapy equipment, camp, workshops, or conferences
Recommendation Form Optional – recommend an individual for services
Confirmation of Diagnosis REQUIRED – receive services
   

All requests must be dated September 1, 2019 or later in order to qualify for possible reimbursement.

One thought on “Register as a Client

  • September 7, 2011 at 2:08 pm
    Permalink

    Christy,

    We would be happy to learn more about your situation and get request specifics so that we can turn them into our allocation committee. If you could call us at 254-933-7597, I would be happy to start the process. Thank you and have a wonderful afternoon!

    Mhyrnnette Rodriguez, BSW
    Program Director

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