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)
• Cancellation Policy Agreement (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
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.