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Forms

Authorization to Treat Forms and Location Maps

Please select a state below to view its forms and location maps.

Texas

Authorization To Treat Forms
Greater Houston ( includes Conroe and Beaumont )
Dallas / Fort Worth
Abilene
Amarillo
Austin
Brownsville
Bryan / College Station
Corpus Christi
El Paso
Harlingen
Laredo
Lubbock
McAllen
Midland / Odessa
San AngeloOPENING SOON
San Antonio
Tyler/Longview
Waco
Wichita FallsOPENING SOON

Maps of Locations
Greater Houston  ( includes Conroe and Beaumont )   | In Spanish
Dallas / Fort Worth   | In Spanish
Abilene   | In Spanish
Amarillo   | In Spanish
Austin   | In Spanish
Brownsville   | In Spanish
Bryan / College Station   | In Spanish
Corpus Christi   | In Spanish
El Paso   | In Spanish
Harlingen   | In Spanish
Laredo   | In Spanish
Lubbock   | In Spanish
McAllen   | In Spanish
Midland / Odessa   | In Spanish
San Angelo   | In SpanishOPENING SOON 
San Antonio   | In Spanish
Tyler/Longview   | In Spanish
Waco   | In Spanish
Wichita Falls   | In SpanishOPENING SOON 

Georgia

Authorization To Treat Forms
Atlanta  ( includes Marietta and Norcross )
Augusta
Savannah

Maps of Locations
Atlanta  ( includes Marietta and Norcross ) | En Español
Augusta   | In Spanish
Savannah   | In Spanish

Indiana

Authorization To Treat Forms
Indianapolis

Maps of Locations
Indianapolis   | En Español

Tennessee

Authorization To Treat Forms
Chattanooga
Knoxville
Memphis

Maps of Locations
Chattanooga   | In Spanish
Knoxville   | In Spanish
Memphis   | In Spanish

Wisconsin

Authorization To Treat Forms
Green BayOPENING SOON
Milwaukee Airport
Milwaukee Brown Deer
Milwaukee BrookfieldOPENING SOON

Maps of Locations
Green Bay   | In Spanish – OPENING SOON
Milwaukee Airport  | In Spanish
Milwaukee Brown Deer   | In Spanish 
Milwaukee Brookfield   | In Spanish – OPENING SOON