Tel: 720-841-4395

8 W Dry Creek Cir. Suite 207, Littleton, CO 80120

© 2019 by Blue Butterfly Counseling LLC - All Rights Reserved

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Forms

Disclosure Forms

Disclosure Forms are filled out for ALL CLIENTS regardless of age. Clients age 12-17 need to sign along with their parents. 

Child Intake Form

The Child Intake Form is to be filled out by the parents of all clients age 4-12.

Adolescent Intake Form for Parents

This Intake Form is to be filled out by the parents of all clients age 12-17.

Adolescent Intake Form for Client

This Intake Form is to be filled out by all clients age 12-17.