Client Forms

PLEASE NOTE:

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:

**Instructions**

  1. Please click on the appropriate forms for your clinician
  2. Fill out the forms
  3. Save the forms
  4. Email  your clinician and send the forms via attachment

Tracey Ayers

Email: tayers@btid.com

Chuck Pitte    

Email: cpitte@btid.com 

Patrick Schwartz

Email: docpsyd@earthlink.net

Marne Wine   

Email: mwine@btid.com 

Brannon Pruet   

Email: bpruet@btid.com   

Other Forms

Your therapist may request that you download these additional forms:

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

info@btid.com
(303) 426-8757 HIPAA Software” width=

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