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Forms must be completed no later than 24 hours prior to your initial intake appointment. If they are not completed your session will be cancelled.  For couples and families, each person must fill out all forms. For minors, both parents must complete the forms. Children 12 and older must sign the discolure form as well.

Individual Intake Forms:
Individual Intake
Disclosure Forms
HIPAA
ROI for DAC
CC Authorization

Couples Intake Forms:
Couples Intake
Disclosure Forms
HIPAA
ROI for DAC
CC Authorization

Family Intake Forms:
Family Intake
Disclosure Forms
HIPAA
ROI for DAC
CC Authorization

Child or Adolescent Intake:
Child or Adolescent Intake
Disclosure Forms
HIPAA
ROI for DAC
CC Authorization
 

Once you have met with your therapist a few times, please take our Client Survey, we want your feedback about our services!

Additional Forms: (Please only fill out these forms if you have been asked to do so by your therapist)
Health First Colorado Member Handbook
Release of Information- Friend, Family, or Provider
Collateral Disclosure Form
Video Recording Consent Form
Group Disclosure and Informed Consent
 
Therapist Forms: (Must be a therapist at DAC to access these forms)
Safety Plan                                        Risk Assessment
Treatment Plan                                 Progress Note​              ​
Supervision Summary (E)                 Treatment Summary
Supervision Summary (I)

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