Schedule an Appointment

Do not use this form for emergencies. If this is an emergency call 911.
All inquires will receive a response within 24 business hours.

If you are seeking our Occupational Therapy services, click here!

***We Offer Telehealth Over Video***

New Client Appointment Form.

Current clients who would like to reschedule can contact their therapist by calling: (970) 769-0131

Home Address

Your Relationship to the Child (if necessary)

Whom are you seeking services for?

You or Your Child's Birthday (for insurance verification)

Would you prefer a male or female therapist?

Would you like to receive online (telehealth) services? YesNo

Please provide at least 3 times you or your child is available to come in for counseling so we can best pair them with a therapist. (example: Monday's after school)

What is the best way to reach out to you?

What type of therapy are you seeking?

Do you plan to utilize your insurance? YesNo

Would you like to receive our best parenting advice sent to your email? YesNo

(NOTE: Click the button only once. It will take 3-4 seconds to submit).