United Way Participating Agency

This site made possible by a generous donation of the Aurora Sertoma Club of Port Arthur Texas.
Aurora Sertoma Club of Port Arthur Texas
Supporting The Hughen Center since 1997.

The Hughen Center, Inc. receives partial funding through the Texas Department of Protective & Regulatory Services.

Private Placement

These forms are for Private placements. The forms are provided as a courtesy for families to help facilitate placement. For Texas Child Protective Services (CPS) please go here.

The following forms require the free Adobe Acrobat Reader. Download Acrobat Reader.

pdf admission
Application For Admission

pdf waiver
Waiver Of Injury or Damages

pdf pwrattny
Durable Power Of Attorney For Health Care

pdf release
Release Form

pdf contact
Parent/Guardian Contact Information

pdf release
Release Of Information Request

pdf physician
Physician’s Report

pdf dental
Dental Evaluation

pdf vision
Vision Evaluation

pdf scholarship
Application For Residential Scholarship

pdf financial
Financial Information

pdf history
Case History