Forms

Mountain Lake

If you're a new client, please complete the following forms and bring them to your first therapy session.

Client Psychotherapy Intake Form

Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

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3082 Evergreen Pkwy, Suite D

Evergreen, CO, 80439

Availability By Appointment Only

Monday:

Flexible

Tuesday:

Flexible

Wednesday:

Flexible

Thursday:

Flexible

Friday:

Flexible

Saturday:

Closed

Sunday:

Closed

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