Join Waitlist & Make A Request

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Please Note: Our waitlist is first-come, first-serve! So keep an eye out for an EMAIL from us when a provider opens up with availability.
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ID
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Your Name* This field is required.Please enter your name - which should be the client's name.
First Name
Last Name
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Email* This field is required.
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Phone Number* This field is required.
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Client's Date of Birth* This field is required.
Date
Month
Day
Year
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What service are you looking for?* This field is required.Please select the age-range/modality that you would like your counselor to work in.
Children (3-5) Therapy
Elementary (6-10) Therapy
Preteen (11-13) Therapy
Adolescents (14-17) Therapy
Adult Therapy
Geriatric Therapy
Marriage/Couples Therapy
Families (2+ members) Therapy
Medication Mgmt
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We have PMHNPs available right now for medication mgmt.!

Click here to book a session!
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We still have some openings for our Couples Intensive!

Click here to register!

If you desire weekly couples therapy sessions, click Next.
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Desired Provider Specialty (select up to 3)* This field is required.Please select any specialty that you would like your counselor to work in. Below is a list of some of the most popular. Choose "other" to enter your own response.
Anxiety
ADHD
Behavioral Issues
Alcohol Abuse
Bipolar Disorder
Alcohol Use
Depression
Anger Management
Divorce
Antisocial Personality
Eating Disorders
Infidelity
Marital and Premarital
Medication Management
Faith Issues
Parenting
Relationship Issues
Self-Harming
Stress
Substance Use
Suicidal Ideation
Trauma and PTSD
Spirituality
School Issues
Obsessive-Compulsive (OCD)
Domestic Abuse
Other
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Have you experienced any suicidal ideation or have been hospitalized for psychiatric reason in the last 90 days?* This field is required.
Yes
No
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Would you like us to book you at a designated time?* This field is required.If yes, we'll ask you to specify some days/times that work for you in the following question.
Yes, book me on a specific day/time
No, send me some options to choose from
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When is your available days & times?* This field is required.Please provide us with at least 3 available times to schedule you.
Day
Time
Location
Notes
Option #1
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Row 0, Column 0
Row 0, Column 1
Virtual
Colorado Springs, CO
Aurora, CO
Pueblo, CO
Row 0, Column 2
Row 0, Column 3
Option #2
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Row 1, Column 0
Row 1, Column 1
Virtual
Colorado Springs, CO
Aurora, CO
Pueblo, CO
Row 1, Column 2
Row 1, Column 3
Option #3
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Row 2, Column 0
Row 2, Column 1
Virtual
Colorado Springs, CO
Aurora, CO
Pueblo, CO
Row 2, Column 2
Row 2, Column 3
Option #1
Option #2
Option #3
Day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Row 0, Column 0
Time
Row 0, Column 1
Location
Virtual
Colorado Springs, CO
Aurora, CO
Pueblo, CO
Row 0, Column 2
Notes
Row 0, Column 3
Day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Row 1, Column 0
Time
Row 1, Column 1
Location
Virtual
Colorado Springs, CO
Aurora, CO
Pueblo, CO
Row 1, Column 2
Notes
Row 1, Column 3
Day
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Row 2, Column 0
Time
Row 2, Column 1
Location
Virtual
Colorado Springs, CO
Aurora, CO
Pueblo, CO
Row 2, Column 2
Notes
Row 2, Column 3
1 of 3
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Best Day For An Appointment* This field is required.Check all that apply.
Any Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday (limited availability)
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Best Timeframe For An Appointment* This field is required.Check all that apply.
Any time of day
Morning
Afternoon
Evening (limited availability)
Other
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Preferred Location* This field is required.
Virtual
Colorado Springs, CO
Aurora, CO
Pueblo, CO
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Preferred Colorado Springs Office* This field is required.Check all that apply.
Any Office
Colo Spgs- Erindale Dr Office
Colo Spgs - Citadel Dr Office
Colo Spgs- Circle Dr Office
Colo Spgs- Centennial Blvd Office
Colo Spgs- Barnes Rd Office
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Health Insurance CarrierOptional
Please Select
Please Select
NONE
I'll Self Pay
Aetna
Anthem - BCBS
Kaiser Permanente / Beacon
BIND
Cigna/Evernorth
Continental Benefits
GEHA
Medicaid
UnitedHealthcare - Optum
UnitedHealthcare - Allsavers
UMR
Tricare
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Do you have a preferred provider? (optional)We'll immediately notify your preferred provider to see if they have any potential openings! You can leave it blank if you don't have a preferred provider.
Please Select
Please Select
Alex Wiley
Alisha Gray
Alyssa Hodge
Amber Hopf
Andrea Burgess
Andreea Felea
Anna Libby
Annalise Saylor
Arias Gonzales
Barbra Styles
Bethany Cantrell
Bonna Machlan
Brenda Hermosillo
Brooke Moraski
Bryan Reynolds
Caitlin deWit
Carrie Nelson
Chelsea Bruntmyer
Cheyenne Ainsworth
Clarissa Mendez
Colleen Murray
Deb Corbitt
Derek Bonds
Dominique Schweinhardt
Donna Janiec
Dusty Bransford
Emily Murphy
Felicia Gray
Garrett Luttman
Geni Hunt
Grace Combs
Hailey Gloden
Heather Comensky
Hilary Helkenn
Jacquelynne Sils
Jane Neuffer
Jasleen Karir
Jenifer Seas
Jennifer Luttman
Jennifer Wilson
Jessica Montijo
Jessica Packard
Jessica Titone
Jill Moran
Joel Harms
Joseph Anders
Joshua Goldberg
Julie Maloney
Kalsey Hartley
Karin Alaska
Kate Castillo
Kate Taylor
Katelynn Dwyer
Katherine Fijman
Katherine Miller
Katie Quick
Kelly Bergstedt
Kelsey Maestas
Kimberly Nefflen
Kristen Yamaoka-Los
Laura Brinkman
Laura Hunt
Lauren Day
Madison Caldwell
Mallory Heise
Margot Bean
Maria Roncalli
Marie Whatley
Marta Schmuki
Megan Brausam
Meghan Purcell
Melissa Johnston
Michele Ames-Hodges
Mikayla Braukhoff
Molly Jameson
Naomi Kettner
Noah Suess
Paitton Callery
Pheba Pappachan
Randal Thomas
Rebecca Johnson
Ronda Luttman
Sara Robbins
Sarah Lawler
Sarah Munk
Sarah Tapia
Sarah Webster
Seth Boughton
Seth Gibson
Shannon Hamm
Shannon Matlock
Sierra Brown
Stephanie Kol
Support Team
Susan Mullen
Torri Drew
Tracey Lundy
Travis Call
Winnie Siwa
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Preferred Provider Email
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Colorado resident?* This field is required.Overcomers can only provide services to Colorado residents.
Yes
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Parent/Guardian Name* This field is required.
First Name
Last Name
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Our scheduling team will work diligently to find the right provider for you! Keep an eye out in your email, as soon as a provider becomes available we'll send you an email with links to book online!
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From* This field is required.
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Reply to email* This field is required.
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