Center on Mental Health Services Research and Policy Logo

Home / How to Enroll in the Provider Network

If you are interested in learning more about becoming a Texas SDC program provider or joining our provider network, complete this form and forward it to Program Director Walter Norris at To ensure prompt delivery, we recommend that you send the application by certified mail or by email with return receipt requested.

Download the Provider Enrollment form: Adobe Acrobat [PDF] | Microsoft Word [DOC]

Get the Adobe Acrobat Reader
Download Adobe Acrobat Reader


CMHSRP LogoWebsite designed & maintained by University of Illinois at Chicago, Center on Mental Health Services Research & Policy. Contact Webmaster