Below are downloadable forms(PDF) for your use:
- Referral Fax Form – Professionals who are making a direct referral are welcome to use this form to aid in the referral process. Simply complete the form and fax to our assessment team at 719 355-1059.
- General Exclusionary Form -This is a list of conditions that would exclude a patient from being admitted to our facility.
- Authorization for Disclosure of Health Information