×
Search
Generic filters
Exact matches only
Your 1st Appointment
Make Appointment
Therapy & Counseling Facts
Therapy for All Ages
Paying for Services
Services
What We Treat
Inpatient Services
West Springs Psychiatric Hospital
Women’s Recovery Center
Circle Program
Outpatient Services
Aspen
Craig
Eagle
Frisco
Glenwood Springs
Granby
Grand Junction
Meeker
Rangely
Rifle
Steamboat Springs
Vail
Walden
Other Programs
Respite Services
Peer Support
Oasis Clubhouse
MAT
Supported Employment Service
Resources
Resources For Coping In Today’s World
Mental Health First Aid
Suicide Prevention
Talking With Others In Mental Distress
Coping Tips For Trauma & Distress
When Major Events Happen
Multiply Your Happy
Mental Health Care Kit
Resiliency Skills Training
Guided Meditations
Professional-Resources
Physician Referrals
General Referrals
Medication Assisted Therapy
Thought Leadership & Trainings
Understanding Mental Health Disorders
Understanding Drug & Alcohol Addiction
Forms & Documents
Client Advocacy
Careers
All Open Positions
Internships & Practicums
Benefits Package
About Us
Who We Are
Mind Springs Health FAQ
Board Of Directors
Our Psychiatric Team
Leadership Team
People & Locations
Partnerships
West Slope Casa
Zero Suicide
For The Media
Blogs & More
Prescribing Medications
Terms of Use
Privacy Policy
GIVE
Search
Generic filters
Exact matches only
MENU
Printable Forms
NEW CLIENT FORM
AUTHORIZATION FOR USE AND DISCLOSURE OF HEALTH INFORMATION (ROI)
AUTHORIZATION FOR SERVICES FOR A MINOR
Request for Access to PHI
HIPAA REVOCATION
FORMULARIO PARA NUEVO CLIENTE
AUTORIZACIÓN PARA USO Y DIVULGACIÓN DE INFORMACIÓN DE SALUD
AUTORIZACIÓN DE SERVICIOS AMBULATORIOS DE MENORES
Solicitud de acceso a PHI
HIPPA Revocación
APPLICATION FOR FINANCIAL ASSISTANCE
ZERO INCOME ATTESTATION
For more information about financial assistance
please visit our
Paying for Services
page.
SOLICITUD PARA ASISTENCIA FINANCIERA
AUTO-ATESTACIÓN DE CERO INGRESOS
Site designed with ❤ by
©2023 Mind Springs Inc. All Rights Reserved