San Jacinto County Health & Community Services Guide (San Jacinto, Coldspring TX)

San Jacinto County is rural, and the nearest clinic can be a long drive. Texas Health Help connects Coldspring, Shepherd, Oakhurst, and Point Blank families to the HCSET sliding-scale clinic, county indigent health care, mental health services, Medicaid, food assistance, and free rides to appointments — completely free.

This guide lists the clinics, hospitals, mental health support, food help, and transportation options available to San Jacinto County residents in Coldspring, Shepherd, Oakhurst, Point Blank, and nearby communities. Everything below is free to use, and our navigators can help you make the calls.

Clinics and low-cost care in San Jacinto County

• HCSET — Health Center of Southeast Texas (Shepherd) — Federally Qualified Health Center (FQHC)
  11 Woodland Park Dr, Shepherd, TX 77371
  Phone: (936) 628-1100
  Website: hcset.org
  The only FQHC in San Jacinto County. Sliding scale; no one turned away for inability to pay. Primary care, pediatrics, women's health, and behavioral health.
• San Jacinto County Indigent Health Care — County Health Program
  1 Hwy 150, Room B8, Coldspring, TX 77331
  Phone: (936) 653-2091
  County program for uninsured residents who don't qualify for Medicaid or other coverage.
• Providence Family Care — Community Health Clinic
  21 Alpine St, Coldspring, TX 77331
  Phone: (936) 647-2227
  Community-based primary care in Coldspring. Call for current hours.

Hospitals and emergency care

• CHI St. Luke's Health — Memorial Livingston — Hospital & Emergency Room
  1717 Hwy 59 Bypass, Livingston, TX 77351
  Phone: (936) 329-6100
  Website: www.stlukeshealth.org
  Nearest full-service hospital with 24/7 emergency care for northern San Jacinto County.
• HCA Houston Healthcare Kingwood — Hospital & Emergency Room
  22999 US-59, Kingwood, TX 77339
  Phone: (281) 348-8000
  Closest large hospital for southern San Jacinto County. Emergency rooms must treat you regardless of ability to pay.

Mental health and crisis support

• HCSET Integrated Behavioral Health — Shepherd — Behavioral Health at an FQHC
  11 Woodland Park Dr, Shepherd, TX 77371
  Phone: (936) 628-1100
  Website: hcset.org
  Counseling and behavioral health integrated with primary care on a sliding fee scale.
• Tri-County Behavioral Healthcare — Community Mental Health Center
  Phone: 1-800-659-6994
  Website: www.tcbhc.org
  Sliding-scale mental health and substance-use services, plus a 24/7 crisis line.
• 988 Suicide & Crisis Lifeline — National Crisis Line
  Phone: 988
  Call or text 988 for immediate, free crisis support.

Food assistance and community resources

• Care Share Mission food pantry — 21 N. Butler St, Coldspring — (936) 653-2001.
• SNAP and WIC enrollment help for families and pregnant moms.
• 2-1-1 Texas — free referrals to local aid programs (dial 211).
• CEAP and LIHEAP utility assistance, plus emergency rent and housing help.

Need groceries this week? See our Texas food assistance guide or dial 2-1-1 for the pantry closest to you.

Rides to medical appointments

• Brazos Transit District (The District) provides demand-response rides across San Jacinto County — call ahead to schedule.
• Free non-emergency medical transportation (NEMT) for Texas Medicaid members — we help you book it.
• Volunteer driver network for seniors and disabled residents to reach medical appointments.
• Our navigators arrange rides to clinics, dialysis, and specialists at no cost to you.

Medicaid members can ride free. See free rides to doctor appointments in Texas.

Medicaid, CHIP, and benefits help

• Free help checking if you or your children qualify for Medicaid or CHIP.
• Step-by-step application support — in person, by phone, or online through YourTexasBenefits.
• Pregnancy Medicaid enrollment for expecting mothers.
• Help gathering documents and following up so your application isn't denied for paperwork.

Start here: Texas Medicaid eligibility · Apply for Medicaid · CHIP in Texas · Renew your Medicaid

Senior services in San Jacinto County

• Medicare enrollment and Medicare Savings Program guidance.
• Deep East Texas Council of Governments (DETCOG) Area Agency on Aging support.
• Meals on Wheels and senior nutrition programs for homebound residents.
• Prescription-assistance and benefits counseling for older adults.

Frequently asked questions

Where can I find affordable healthcare in San Jacinto County?

The HCSET clinic in Shepherd is the county's Federally Qualified Health Center and charges on a sliding scale based on your income — no one is turned away for inability to pay. San Jacinto County also runs an indigent health care program in Coldspring for residents who don't qualify for Medicaid.

Are there free clinics in San Jacinto County?

There is no strictly free clinic in the county, but HCSET Shepherd's sliding-scale fees can bring a visit down to a small flat amount, and county indigent health care can cover eligible uninsured residents. Our navigators help you apply for both at no cost.

Does Medicaid provide transportation in San Jacinto County?

Yes. Texas Medicaid members qualify for free non-emergency medical transportation (NEMT) to covered appointments. Brazos Transit District also serves the county. Call us and we'll help schedule your ride.

How do I apply for CHIP in San Jacinto County?

Apply online at YourTexasBenefits.com, by phone at 2-1-1, or with our free help. CHIP covers children in families that earn too much for Medicaid, with low or no monthly cost. We'll check eligibility and walk you through the paperwork.

Is Texas Health Help really free?

Yes. We're a community nonprofit. Helping you find a clinic, apply for Medicaid or CHIP, or arrange transportation never costs anything. We don't bill you or your insurance.

Get free help in San Jacinto County

Our navigators live and work in East Texas. We'll help you pick a clinic, apply for coverage, and arrange a ride — at no cost.

• San Jacinto County resource hub
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