Forms

If you are new, please fill out all intake documents at least 48 hours before your first appointment.

The No Surprise Billing Act and Good Faith Estimate give patients the right to understand cost for services. The cost for services is covered in your informed consent but you are also entitled to an estimate in writing. If you wish for a Good Faith Estimate, please ask your provider and they will provider you with one.

We are not in-network with Medicaid and Medicaid does not allow subscribers to see Out of Network providers. If you have Medicaid, please contact your plan for In-Network providers.

Refund Policy: Therapy sessions over secure video conferencing, or in Centennial, CO office refund/cancellation: Any weekly session that is cancelled at least 24 hours in advance of the date of service will be fully refunded. If a session is cancelled less than 24 hours in advance, or if a client fails to show for a session, the session fee is charged in full. Couple intensives refund/cancellation: Fifty percent of the two- or three- day counseling fee will be collected when the appointment is set. The outstanding fee will be collected upon arrival for the scheduled intensive. Fees are refundable (less a $500 administrative fee) when a cancellation occurs at least 30 days prior to the start of the intensive. If a cancellation occurs within 30 days of the Intensive date, the paid 50% fee will not be refunded. If therapy has begun and is terminated because of a direct or indirect threat or intimidation from one client to the other, or the therapist, there will be no refund. Workshop refund/cancellation: Registration fees are refundable (less a $50 administrative fee) when a cancellation is made more than three weeks prior to the workshop date. If a cancellation occurs within three weeks of the workshop date, the registration will be converted to a credit, good for one year, which may be applied to future workshops. Professional training refund/cancellation: Registration fees are refundable (less a $100 administrative fee) when a cancellation occurs at least 30 days prior to the start of the training. Cancellations after this date will receive a credit, good for one year, which may be applied to other professional programs or products.