Request edit access
Immediate Access Slots Program Application
Building Hope and community partner agencies are working to establish a program to increase availability of appropriate and timely crisis care in Summit County. Working off of processes from organizations within Summit and other Colorado counties that have successfully stabilized hundreds of individuals in crisis and diverted them from more severe action, such as mental health holds, in-patient treatment, and arrest, Building Hope is asking to partner with local Licensed Mental Health Providers to close the gap between immediate stabilization and consistent therapy.

~ Clinician needs to be licensed in the state of Colorado with no restrictions
~ Stabilization appointments will focus on safety planning, stabilization, and care coordination with SMART
    team or other referring agency
~ Appointments are to be in-person only, no telehealth appointments (If a clinician does not have a local office,
    Building Hope will help to provide space either at the Healing Hub or Building Hope office, both in Frisco)
~ Referrals can be received with many days prior notice, or on the same day
~ It is of utmost importance that the slot committed to be held open is not booked by any other client
~ Clinician will be paid by Building Hope through a separate regular monthly invoicing process (**$150 per session regardless whether empty or filled**)
~ Clinician will sign Crisis Stabilization Program Contract with Building Hope and agree to the terms determined in contract
~ If it is discovered that the Clinician is not upholding to the terms of the contract, Building Hope reserves the
    right to terminate the contract at any time (Clinician will be responsible to repay Building Hope in the event
    that Clinician is not providing adequate response time and services to clients in need)

If you are interested learning more about becoming a Crisis Stabilization Clinician with Building Hope, please fill out the form below and we will contact you soon.

Thank you for your help and dedication to support Summit County!
Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Building Hope Summit County.

Does this form look suspicious? Report