Therapy Appointment Request | Denver Mental Health Collective

If you or someone you know is struggling, Reach Out.

Use the following form to reach out with questions or to book a complimentary phone consultation. We will get back to you within the next business day or sooner.

Today's Date: *

Name *

First

Last

Email *

Confirm Email

Phone *

SMS (Text Messaging) Terms of Service *

Yes, I am okay with receiving text messages about scheduling (we will not use your phone number for marketing)
No, please contact me via phone or email.

How did you hear about us? *

us? Name of

How would you like to pay for services? *

Note: We do not accept any of the following: Medicare, or TriCare at this current moment.

What brought you here? *

Form Submission *

Yes, I want to submit this form.
No, I do not want to submit this form.

Yes, I have read and agree to the privacy policy

By opting into SMS from a web form or other medium, you are agreeing to receive SMS messages from Denver Mental Health Collective. This may include SMS messages for appointment scheduling, appointment reminders, post-visit instructions, and billing notifications. Message frequency varies. Message and data rates may apply. You may opt-out of receiving SMS messages at any time by replying "STOP" to any message you receive from us or by contacting our office directly. We will process your request within 24 hours and discontinue sending messages. Non-Sharing Clause: We do not share your information with third parties for marketing or any other purposes unrelated to your healthcare. Compliance: We comply with all applicable privacy laws and regulations, including HIPAA

If you or someone you know is struggling, Reach Out.

Got Questions?
Send a Message!

Find My Office

Need Help Finding the Office?

If you or someone you know is struggling, Reach Out.

Got Questions?Send a Message!

Find My Office

Need Help Finding the Office?

Got Questions?
Send a Message!