Intake Forms

Intake Forms for David's Clients

If you are a new client, please complete the following forms and bring them to your first therapy session.

 Confidential Information (PDF)
 Payment Contract (PDF)
 Disclosure Statement (PDF)
 Consent Form (PDF)
 HIPPA Form (PDF)
 Acknowledgment of Receipt of Notice of Privacy Rights (PDF)
 Life History Questionnaire (PDF)
 Release to Use Unsecured Emails and Texts (PDF)
 To Get the Most Out of Your Therapy  (PDF)

Intake Forms for Faith's Clients

If you are a new client, please complete the following forms and bring them to your first therapy session.

• Confidential Information (PDF)
• Payment Contract (PDF)
• Disclosure Statement (PDF)
• Consent Form (PDF)
• HIPPA Form (PDF)
• Acknowledgment of Receipt of Notice of Privacy Rights (PDF)
 Release to Use Unsecured Emails and Texts (PDF)

Get In Touch

Call

David: 303-643-8633
Faith: 303-885-3498

Email

Address

24000 US Highway 40, Golden, CO 80401

Our location is on US Highway 40, one mile west of Exit # 256 (Lookout Mountain Exit) off I-70 westbound.