Client Forms


If you are using insurance there will be a conversation at your first session regarding this.
Please come prepared to answer the following:
  • Do I have mental health insurance benefits?
  • Is my therapist “in network?”
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?

Intake Paperwork Packet:

**It is quite helpful if you open the file and type in the information for your clinician. If you are not able to do this, print off the packet and please take the time to print legibly. This helps all of us out tremendously. Thank you.**

Tracey Ayers    
Chuck Pitte     
Brannon Pruet       

Other Forms

Your therapist may request that you download these additional forms:

Telehealth Consent Form

E-Mail Consent Form

Consent to Treat Minor (15yrs and younger)-Tracey Ayers

These documents do not need to be printed off. They are available for you to read at your convenience.

  1. Social Media Policy
  2. Patient Rights
  3. Privacy Policies  (Federal regulations require that all mental health professionals post their privacy policies)
  4. HIPAA/HITECH (compliance checklist)

Note: To download Adobe Acrobat Reader for free, click here.


Contact Today

Main Office
7800 S Elati Street Suite 230
Littleton, CO 80120
(303) 426-8757 HIPAA Software” width=

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