Online Forms

After you have scheduled your first appointment, the below forms can be completed online. Once you click submit, they will be emailed to us directly.

New Clients

Your New Client Registration and Assessment will be emailed to the email address that was provided during intake.  The email will have two separate links for you to click and complete. Once submitted these are delivered directly into your electronic client chart in our HIPAA compliant system.  If you have not seen this email, contact our front office and they can send these again.

Consent to Treatment

• Tele-Mental Health Consent

• Multiple Persons in Therapy

• Communicating Through E-mail or Text Messaging

• DSM 5 –  Self-Rated for 18+

• DSM 5 –  Self-Rated for Adolescents ages 11-17

• DSM 5-   Parent/Guardian Rated for ages 6-17

 Additional Forms

• Release of Information (ROI)

• Chart Release Form

• Medication List

DBT

• Life Worth Living

• DBT Group Evaluation

PDF Forms

The below documents can be downloaded and printed or scanned and emailed to us at info@colorado.mindfully.com.

• Diary Card

• Advanced Diary Card

• HIPAA – Notice of Privacy Practices1