Residential Program Referral Forms - Central Texas Veterans Health Care System
Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.

Central Texas Veterans Health Care System

Veterans Crisis Line Badge
My HealtheVet badge
EBenefits Badge

Residential Program Referral Forms


Please send completed forms to:

Mental Health Residential Rehabilitation Programs
One Screening Committee
Donna Earle (13B)

1901 Veterans Memorial Drive
Temple, TX 76504-7451
Phone: (254) 743-2264

The Mental Health Residential Programs One Screening Committee conducts all screening for the PRRP. Ask your health care providers for a referral to to the program.

  1. Application and Screening Form (print this out, complete it, and return it to the screening committee)
  2. 10-10EZ (complete this form if you have never been seen in Central Texas VA before)
  3. PRRP Brochure (this is a short information sheet, and it is not necessary to return it with your application)
  4. PRRP Resident Handbook (this booklet describes PRRP rules, what is expected of the Veteran, and services we offer)
  5. Use of Service Animals Policy (describes policy regarding service animals)

Resource for Clinicians Treating PTSD

National Center for PTSD
National Center for PTSD, Professional Section
National Center for PTSD: PTSD Coach Online
Mobile App: PTSD Coach