Apply for services

Please read all instructions and review our fee schedules and terms before beginning the application process. Please contact us with questions.

1. Complete required forms.

2. If applicable, have your current therapist complete this form:

3. Send all forms to us. 

We receive all forms online, by fax and by postal mail service.

  • Our fax number is (303) 674-4078
  • Our postal address is: Evergreen Psychotherapy Center, PLLC, 32065 Castle Court, Suite 325, Evergreen, CO 80439

4. Give us consent to begin the application process.

Print this consent form, and mail it to us at the address listed above along with a $250 application fee.

Please note:

  • This application fee is applied toward treatment if the applicant(s) is/are accepted into our program.
  • We accept check, Visa or MasterCard. To pay the application fee with a credit card, please make sure you have completed the credit card information listed at the bottom of the consent form.