Request an appointment

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Request an appointment

Welcome to Allied Behavioral Health Solutions Denver Office.
Please complete this form to the best of your ability. If you have any questions or would like to speak with someone about our services, please email us at colorado@alliedbehavior.com.

Important: We are currently only providing telehealth services for adults (18+) and couples. If you are seeking mental health services for someone under the age of 18, please follow this link to OwnPath, Colorado's Behavioral Health Directory.

Insurance options are available. Private pay is also available. Our private pay fee is $150 per session. ABHS remains committed to accessible, high quality services. We encourage you to reach out to discuss sliding scale options.

Please note: We are unable to provide immediate or urgent services. If you are experiencing a mental health emergency, thinking about suicide, or are in need of immediate assistance, please go to the nearest emergency room, call 911, or contact the Suicide and Crisis Lifeline by calling or texting 988.

Before completing the form, please review our FAQ to learn more about what services we offer.

🚫 Please Do Not Submit Duplicate Requests

If you have already submitted this form, or if you have previously requested services by phone, please do not complete the form again. Duplicate requests for the same client can slow down the scheduling process for everyone.

If you need to update information or check the status of a referral, please contact our office directly.

Client's Full Legal Name

Client's Preferred Name

(For example, a nickname or name they go by day-to-day)

Client's Date of Birth

YYYY

Client's Phone Number

Client's Email Address

What is the preferred method of contact for the client?

Phone

Either is fine

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Are you a Colorado resident, currently residing in Colorado?

Please note: Allied Behavioral Health Solutions can only provide services to clients located within the state of Colorado and Tennessee, including for virtual therapy.

Yes

Other:

Areas of Concern

Please check any issues or topics you’d like support with. This helps us better understand your needs.

Depression

Stress, anxiety, or panic attacks

Couples therapy

LGBTQ+

Trauma or post-traumatic stress

Childhood abuse or neglect (physical, sexual, emotional, verbal)

Attention, hyperactivity, inattentiveness

Postpartum depression and/or anxiety

Grief and loss

Domestic violence

Relationship trauma

Life changes and transitions

Aging

Relationship concerns

Other:

Required

Please share more about the reason you're requesting an appointment or making this referral. *

This helps us understand your needs and match you with the right services. If you have any preferences for the kind of therapist you’d like to see — like someone with a certain background or training — feel free to include that here too.

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