For Clients

To request an appointment: please contact one of our clinicians listed on the Meet Our Clinicians page.

For general information or questions for the administrative staff
call: (303)-639-5240

 

NEW PATIENT INTAKE FORMS:

Please find our intake forms below. Your clinician will provide you with a few additional forms at the time of service.

Centus Intake Information Form

Insurance Information and Fee Agreement

Privacy Practices

Medicaid Insurance Agreement Form

Centus Consent for Email

Centus Fee Agreement

Credit Card Agreement Form

TO MAKE A PAYMENT:
Payment for services may be made by credit card on a secure payment site through this form:

Comments: Submit additional information, such as counselor name and date of service in the “Description” box on the following payment page. Thank you!