AAC Referral Form

Click the button below to access the online referral + consent form or referral + medical consent PDF template.

Please return via FAX (972) 647-0040 or referrals@metrocare.com

 

AAC Medical Consent Form

Click below to download a PDF version of our AAC Medical Consent Form

Please return via FAX (972) 647-0040 or referrals@metrocare.com

 

AAC Evaluation Template

Click the button below to access either the online evaluation or PDF evaluation template

Please return via (972) 647-0040 or referrals@metrocare.com

Please return via (972) 647-0040 or referrals@metrocare.com

 

AAC Texas Medicaid 90-Day Trial Device Form 

Click the button below to access either the below to access the online form

Please return via (972) 647-0040 or referrals@metrocare.com

 

AAC In-Service Request Form