Client Forms
Please download the appropriate forms, fill them out and email them directly to the Denver DBT clinician who you will be working with. You may fill out the forms on the computer or print them, fill them out, and email back the completed copies.
If you’d prefer to send the forms by mail, your clinician can let you know which office address to send them to.
Clinician Mandatory Disclosure Forms
Please find your individual therapist’s name and read and sign their disclosure form. They will be reviewing this form with you during your first session.
- Dr. Andrew Arriaga Mandatory Disclosure Form
- Dr. Brian Beaumund Mandatory Disclosure Form
- Dr. Kritika Dwivedi Mandatory Disclosure Form
- Dr. Adrienne Franks Mandatory Disclosure Form
- Dr. Lindsey Gagnon Mandatory Disclosure Form
- Dr. Callison (Callie) Kernick Mandatory Disclosure Form
- Dr. Nikki Kraslin Mandatory Disclosure Form
- Dr. Brooke Lanigan Mandatory Disclosure Form
- Dr. Megan LaVoy Mandatory Disclosure Form
- Dr. Risa Muchnick Mandatory Disclosure Form
- Dr. Lindsey Waxman Mandatory Disclosure Form
- Dr. Zachary Weiss Mandatory Disclosure Form
Individual Therapy Forms
- Personal Information Form
- Informed Consent Checklist for Telepsychological Services
- Release of Information (This form is generally optional and should be filled out if you would like your clinician to discuss your treatment with another past or present provider. Should you have a third party paying for treatment, please fill this out with their contact information and specify “for billing purposes only.” We are happy to discuss this further during your intake session.)
- Remote Session Guidelines
Group Therapy Forms
- Personal Information Form
- Informed Consent Checklist for Telepsychological Services
- Release of Information (This form is required to be filled out so that we have your individual therapist’s contact information for emergency purposes. In addition to emergencies, it can be helpful to have your Denver DBT clinician discuss your treatment with your individual therapist and/or another provider (i.e. psychiatrist). Should you have a third party paying for treatment, please fill this out with their contact information and specify “for billing purposes only.” We are happy to discuss this further during your intake session.)
- Group Mandatory Disclosure Form
- Adult DBT Group Guidelines
- Adolescent DBT Group Guidelines
- Diary Card
- Diary Card Explanation
- Remote Session Guidelines
