MAIN: 3225 South Wadsworth, Unit T, Lakewood, CO 80227
Mon thru Fri 9:00am–5:00pm

Commonly Used Forms

Below are our most common forms.  Don’t see what you’re looking for? Contact and we will gladly assist you.

TELEHEALTH DISCLOSUREplease complete and email to either your clinician or

LEVEL B GROUP SCHEDULE, for virtual groups.

NIC WELCOME PACKET, used for all first-time appointments and for clients who have gone more than 6 months since their last appointment.

RE-ENROLLMENT PACKET, for clients returning to NIC after 30 days to 6 months without services.

SLIDING SCALE APPLICATION, application to lower the cost of on-going treatment. Does not apply for intakes or evaluations.