Admission Forms

Listed below are the WTRC Admission Forms needed to be filled out for treatment services at the Center. Click on needed forms below, print and bring to your next visit to WTRC. If you are expecting to have a claim with your insurance provider, please bring all necessary doccuments with you to WTRC. If you need financial assistance with treatment services, please call 325.793.3406 (Abilene) or 325.223.6308 (San Angelo).

Adult Medical/Social History Form
Pediatric Medical/Social History Form
Patient Information
Consent of Treatment
Audiology Medical History Question Form

• Specialty Clinics &
Support Groups
• Admission Forms
• Your Bill
• Financial Assistance
• Patient Rights