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Forms & Program Information

Useful Forms and Documents

Below are downloadable forms 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 an individual from being admitted to our facility.

Approved Inventory & Visitation Guidelines

Authorization for Disclosure of Health Information

ECT Referral Form (Download)

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