Behavioral Health and Wellness
  • Welcome
  • Our Staff
    • J. Christopher Young, PhD
    • Cheryl Young, LMFT
    • Kymberly Maestas, LPC, CACIII
    • Rickelle Hicks, LMFT, CACIII
    • Raul DeVillegas-Decker, PsyD
    • Sandy Forrest, RN, PhD, LPC
    • Stephanie Bailey-Baughman, LPC
    • Roxanne Davenport, LPC
    • Ashley Walsh, LPC
    • Rachel McCarthy, LCSW
    • Frances Hicks, LPC
    • Judith Shue, PMHNP
    • Barbara Droog, MFT-C
    • Domenica Steele, LPC-C
    • Marissa D’Annibale, LPC-C
    • Abigail Blackford, LPC-C
    • Michael Scotto, Psychologist Fellow
    • Isa Wright, PhD, post doctoral
    • Thomas Weir, PsyD
    • Administrative Staff
  • Library
  • Educational
  • Forms
  • Employment
  • Contact
Select Page

Patient Forms

New Patient Paperwork

Please print these forms, fill out entirely, and bring to the office at your first appointment.

  • Welcome Form
  • Medical History
  • Release Form
  • Hippa Account

Records Request

Please print these forms and fill both out completely. You may either bring them to our office in person, or fax them to us at (970)242-7245.

  • Release Form
  • Request for Records

Contact Us

Contact Us

(970) 242-5707

E-mail

Behavioral Health & Wellness

Fairmont Health Park

PCP Building
3150 North12th Street
Grand Junction, CO 81506

Palisade Annex

(Limited appointments only)
731 Iowa Street
Community Hospital Care Center
Palisade, CO 81526
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