Helpful Forms

If you’re a new client, please complete the following three forms and bring them to your first therapy session:

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

If you are seeking help with a child under the age of thirteen, please complete the following questionnaire:

If you are using a credit card for payment, please complete the following form:



6610 Gunpark Drive Suite 101A
Boulder, CO 80301

pattiashley@icloud.com
(720) 565-3388

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