Forms

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Forms

Thank you for selecting Denver Wellness Associates for your mental health care needs. To schedule an appointment, please call us at (720) 724-3668, email us at info@denverwellness.com, or use our convenient online appointment scheduling form.

Once you have made your initial appointment, you may preregister online by completing the interactive forms below. Completing these forms prior to your visit will help speed up the new patient registration process.

New Patient Forms

Interactive Forms

• New Patient Info
• Medical Records Release
• Billing Form
• Consent & Acknowledgments
• Financial Information
• PHQ-12 Questionnaire
• Genoa Pharmacy Enrollment Form
• Genoa Pharmacy Non-Child Resistant Container Waiver

Schedule an Appointment

Downloadable Forms

Please note that we will need you to initial where indicated on the following forms. Please arrive 15 minutes prior to your scheduled appointment time.

• Credit Card on File Billing Authorization Form

• Medication History Consent

• Office Resources and Policies

• Patient Consent

• Patient Financial Responsibility Form

• Genoa Pharmacy Enrollment Form

• Genoa Pharmacy Non-Child Resistant Container Waiver