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Forms

Request an Appointment

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

psychiatrist and patient looking at papers

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

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

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At Denver Wellness Associates, our psychiatric providers offer comprehensive mental health services including TMS, Psychiatric Treatment, Genetic Testing, Spravato & Ketamine-Assisted Therapy, ADHD Testing, and Therapy.