Stephanie's Forms

Please print the appropriate forms below, complete them and bring to your first appointment.

(Your therapist will send a confirmation email to you identifying which forms you will need to bring.)

HIPPA Notice

Minor Intake Form

Adolescent Intake Form

Adult Intake Form

PHI Consent to Electronic Communication

 Waiver of 

HIPPA

Credit Card Authorization

MA, LPC, CHT, LMFTC

MA, LMFT, LPC, NCC

8774 YATES DRIVE, STE. 135

WESTMINSTER, CO 80031

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