Begin Services- Med/KAP

Please complete each of the following steps to begin services:
1. Click HERE to schedule a phone appointment with our Referrals Team
2. Fill out the form below (form is required for the meeting with the Referrals Team)
3. Speak with our Referrals Team to verify eligibility, complete your chart setup & schedule an Initial Intake with your provider.
4. Begin on your path to growth & wellness!

To begin services, please enter the following information*:

Please confirm the services being requested: *

Medication Management Ketamine Assisted Psychotherapy (KAP)

* Indicates required field

Name of the Person Receiving Services *

First

Last

Email *

Phone Number *

Do we have consent to make contact via email? *

Type of Payor *

Insurance *

Name of Insured *

Member ID *

Date of Birth of the Person Receiving Services *

Preference *

Appointment Day Preference *

Appointment Time Preference *

Are you currently a client of Barber Family Counseling counseling services? *

Yes No Decline to Answer

Submit

*By filling out this form, you are consenting to the use of electronic communication. If you do not consent to the use of electronic communication, you may also call our office to begin services at (866) 644-6131. Please note that our phone line hours are limited at this time to Monday through Thursday. Voicemails left will be returned within 5 business days.

Start Services Now!

We DO NOT have administrative support on site, at any of our locations. For additional support:
Our phone lines are monitored Monday - Thursday, from 9am-1pm MST: (866) 644-6131
If no one answers, we are on the other line. Please leave a message and we will call you back or email us at
[email protected]

For General Inquiries: Please click here.

Locations

Barnes Rd., Colorado Springs, CO
4775 Barnes Rd. Ste L
Colorado Springs, CO 80917

Briargate Blvd., Colorado Springs, CO
3475 Briargate Blvd. Ste 201
Colorado Springs, CO 80920

Las Vegas, NV
Teleheath Only

Phone: (866) 644-6131
Fax: (719) 434-9615
[email protected]

If you or someone you know is in crisis, call 911, go to the nearest emergency room, or call 1-800-273-TALK (8255) to reach a 24-hour crisis center.

You matter and you are never alone.

Barber Family Counseling and Wellness is proud to support our military members, veterans and dependents.

YOUR CART

To begin services, please enter the following information*:

Locations