(719) 428-8967 | destinacionset@outlook.com

Destinacion's Therapy & Maybell's Mission

My WordPress Blog

  • Destinacion's Therapy & Maybell's Mission
  • Home
  • Services
  • About
    • Meet your Therapists
  • Getting Started
    • Appointment Request
    • Client Forms
    • FAQs
    • Rates & Insurance
  • Resources
    • Mental Health Links
    • Physical Health Links
    • Recent News
  • Blog
  • Contact

Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Destinacion’s Equine Therapy informed consent

card_on_file_authorization_form

Client Intake

Client Information

Authorization for Release of Information

Limits of Confidentiality

Liability Information; Colorado Statute; Barn and Safety Release

Destinacion’s Therapy ins waiver

 

Contact Today

Jennifer Wolf



(719) 428-8967
destinacionset@outlook.com

8315 Lakeview Drive
Black Forest, CO 80908

Contact

Send A Message

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means

Office Hours

Office Hours are Available by Request
Request An Appointment
  • Facebook

Find Our Office

Contact Information

8315 Lakeview Drive
Black Forest, CO 80908

(719) 428-8967
destinacionset@outlook.com

A Therapist Website by Brighter Vision | Privacy Policy