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
Austin
Brownsville
Bryan / College Station
Corpus Christi
El Paso
Harlingen
Laredo
Lubbock
McAllen
Midland / Odessa
San Antonio
Tyler/Longview
Waco
Maps of Locations
Greater Houston ( includes Conroe and Beaumont ) | In Spanish
Dallas / Fort Worth | 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 Antonio | In Spanish
Tyler/Longview | In Spanish
Waco | In Spanish
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
In English |En Español
Tennessee
Authorization To Treat Forms
Chattanooga
Knoxville
Memphis
Maps of Locations
Chattanooga | In Spanish
Knoxville | In Spanish
Memphis | In Spanish