APPLY
Download an intake form:
ENGLISH – DOC | PDF
SPANISH – DOC | PDF
Download an application:
ENGLISH – DOC | PDF
SPANISH – DOC | PDF
Please submit both the application and in-take forms to Shyra Baron via:
Email: sbaron@heartprogram.org
Fax: (713) 263-3795
Completing the application and the in-take form is not a guarantee of acceptance into the program. Upon successful completion of all necessary paperwork and presentation of the proper documentation, your application will be reviewed and an initial meeting will be scheduled to access the potential program participant.
Please visit our frequently asked questions section to see if The H.E.A.R.T. Program is a good fit for your loved one. Review the purpose of the program, its requirements and what a participant can expect to experience as a trainee in The H.E.A.R.T. Program.