Client Forms

If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

Consents and Acknowledgements

Individual Counseling Intake

HIPPA

Online Therapy Pre

Teletherapy Contacts-Safety Plan

Teletherapy Informed Consent

Contact Today



2140 Academy Circle Suite C
Colorado Springs, CO 80909

lorrie@autumnleaves.hush.com
(719) 332-7794

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