Healing in Relationship

Darleen Gegich, MA, LPC
Licensed Professional Counselor & Certified Imago Relationship Therapist


New Individual Client Forms

Credit Card Authorization Form

Confidentiality Release Form

Forms


New clients please choose the appropriate link below based on the type of service you are coming in for.  Print and fill out the forms and bring in for you first session.


Darleen Gegich, MA, LPC
                                                                                                 
1910 7th Street,  Boulder, CO 80302

3830 Florentine Cir, Longmont, CO 80503

(720) 515-4711
dgegich@gmail.com

New Family Forms