Make an Appointment: [email protected] | (719) 357-7889

  • Client Forms

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    If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.


    Client Intake Form

    Demographic Information Sheet

    Couples Intake Screening

    Surprise Balance Billing Disclosure

    Informed Consent for In-Person Services During COVID-19

    Informed Consent for Technology-Based Tele-Health Services

    If you feel that you would like to collaborate your session with another provider, fill out the following form.

    Release of Information (ROI)

    North Star Counseling & Development Center Intra-ROI