Referral & Insurance PDF

New Patient Intake PDF

Referral & Insurance Google Form

New Patient Intake Google Form

Additional Resources

Functional Analysis Screening Tool (FAST Assessment)

(Submit online)

Center Allergy Policy

We currently accept Colorado Medicaid, TriWest, and United Healthcare

Please fill out both the “Referral & Insurance Form” and “New Patient Intake Form” and email the completed documents to annie@atlasbxconsulting.com. Alternatively, you can fill out each of these documents online through a Google Form. Your submission will be automatically forwarded to the above email address and processed.