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    • Home
    • Contact Us
    • Services
    • Meet Our Therapists
    • First Responders
    • High Profile Clients
    • Speaking/Awards
    • In the News
    • Community Partners

970-430-6552

970-430-6552

  • Home
  • Contact Us
  • Services
  • Meet Our Therapists
  • First Responders
  • High Profile Clients
  • Speaking/Awards
  • In the News
  • Community Partners

Client/Psychotherapist Intake Documents

Download our client intake forms below and return them to heatherbrookelpc@gmail.com with your therapist request. 

Once we receive your forms, we will get your benefits verified and get you scheduled as soon as possible. 

Heather Brooke, LPC Client Information Form (pdf)Download
Heather Brooke, LPC Informed Consent (pdf)Download
Heather Brooke, LPC Notice of Privacy Policies (pdf)Download
HEATHER BROOKE, LPC RELEASE OF INFORMATION OR AUTHORIZATION (pdf)Download
Professional Disclosure Statement Inclusive (pdf)Download

Contact Us

970-430-6552 heatherbrookelpc@gmail.com

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09:00 am – 05:00 pm

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