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: | |
| clientinformationadult.pdf | |
| File Size: | 65 kb |
| File Type: | |
| couplesintake.pdf | |
| File Size: | 73 kb |
| File Type: | |
| creditcardauth.pdf | |
| File Size: | 69 kb |
| File Type: | |
| acknowledgment_and_receipt_hipaa.pdf | |
| File Size: | 46 kb |
| File Type: | |
The disclosure and HIPAA form needs to be read, it does not have to be printed.
| disclosurehipaaform.pdf | |
| File Size: | 77 kb |
| File Type: | |
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: | |
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
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