Forms & Program Information

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 Admission Criteria Reference Sheet -This is a list of conditions that would exclude a patient from being admitted to our facility.
• Approved Inventory and Visitation Information
• Authorization for Disclosure of Health Information