CCAC Summer Group Inquiry Form
We're so happy you're interested in our group program! Fill out the following form and our client care team will contact you to set up a pre-group consultation between you and one of the group leaders.

Our current group offerings are available on our website:

You're always welcome to email to check in on group offerings at any time!
I'm looking for services for... *
Full Name *
Date of Birth *
Phone Number *
Email Address *
What is your preferred method of contact? *
Insurance Provider *
Are you interested in discussing our direct pay rates (in the event your insurance provider is out of network)? *
Are you currently seeing a provider for counseling/therapy? *
Check out our website for more information on our current group offerings!
Which group(s) were you interested in joining? *
Have you seen us before for another service? If so, select any that apply:
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This form was created inside of Colorado Center for Assessment & Counseling.