Please read carefully and bring all required documents to your first session. This is critical for our office to best serve you. Thank you!
Bring the following completed form to the first session or fax the day before to Psyche Associates at 303-617-3668. If you are using insurance or EAP, bring a copy of the front and back of your insurance card and check below for any additional forms required by your specific insurance company.
Your signature on the above Intake Form indicates you have read and agree with my office policies including my cancellation policy. Here is a copy for you to read before our first session:
Telehealth Consent Form:
Insurance and EAP Forms:
Additional Insurance and EAP Forms – If your insurance company’s form is listed below, complete and bring this with you to your first session along with the Intake Form and copy of insurance card.
Anthem Member Grievance and Appeal Forms:
If you would like us to be able to communicate with your PCP or other health care professional about you, also bring this form to your first session: