Marriage Counseling in Denver
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            Counseling Intake Forms

            Before your first counseling session, please download these forms and complete them.  Doing so enables us to spend your first session on beginning to heal your relationship.

            policies_and_consent.pdf
            File Size: 68 kb
            File Type: pdf
            Download File

            clientinformationadult.pdf
            File Size: 65 kb
            File Type: pdf
            Download File

            couplesintake.pdf
            File Size: 73 kb
            File Type: pdf
            Download File

            creditcardauth.pdf
            File Size: 69 kb
            File Type: pdf
            Download File

            acknowledgment_and_receipt_hipaa.pdf
            File Size: 46 kb
            File Type: pdf
            Download File

            The disclosure and HIPAA form needs to be read, it does not have to be printed.
            disclosurehipaaform.pdf
            File Size: 77 kb
            File Type: pdf
            Download File

            Release of Information is an optional form -used only in the event you would like me to consult with other providers.
            release_of_information.pdf
            File Size: 54 kb
            File Type: pdf
            Download File

            Denver Tech Center Counseling Office:
            7000 East Belleview Avenue, Suite 350
            Greenwood Village, CO 80111
            303-513-8975

            Denver Therapy Office:
            1221 South Clarkson Street, Suite 206
            Denver, CO 80210
            303-513-8975
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