• Required Documentation

  • Individuals being referred to STAR Council for Substance Treatment are required the submit each a Photo ID, Proof of Residency, Proof of Income, and Incurance (if applicable).

    These documents must be submitted prior to getting an appointment scheduled. 

    Submission Instructions:

    • Take photos in well-lit areas, information must be visable and clear. 
    • Take photos on a flat surface. DO NOT hold the card in your hand.
    • Document photos should fill the whole viewing area.

     

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  • Photo ID

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  • Proof of Residency

    Only for Substance Treatment
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  • Residency Letter

    Temporary
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  • I,, as the client to receive services, am currently residing with (name of family, friend , etc.) at the following address.

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  • Proof of Income

    Only for Substance Treatment
  • ALL working adults, living in the household, are required to provide proof of income.

    It is possible that the State of Texas will cover the all program cost for the individual seeking treatment. 

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  • Unemployment Attestation

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  • I,, as the client to receive services, have no form of income at this time. I am receiving help from .

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  • Employment Attestation

    Cash Payment
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  • I, , as the client to receive services, am currently employed with( employer) as     and receive cash payments only.

  • I receive $ per pay period. I am paid on a:            cycle.

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  • Medicaid and/or Private Insurance Card

    Front and Back Required
  • Private Insurance

    Card Photo
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  • and/or Medicaid

    Card Photo
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  • VA Insurance

    Card Photo
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  • OTHER Documents

    Example: Prescription list from Pharmacy
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  • Should be Empty: