Barber Family Counseling & Wellness
  • Home
  • Meet the Team
    • Dr. Courtney Barber
    • Kaley Chiles
    • Christ Estep
    • Will Andres
    • Amanda Bear
    • Jessi Epperson
    • Kirsten Hughes
    • Tyler Kabat
    • Heather Laughlin
    • Leona Martinez
    • Mariah McConnell
    • MaeLee McKee-Borah
    • Jenni Monks
    • Lana Rogers
    • Cassie Salinas
    • Daryk Scott
    • Lisa Trickett
    • Elizabeth Mottram
    • Dr. Natasha Alvandi
    • Becki Belleman
    • Amber Crisp
    • Sarah Peterson
    • Annie Yockel
  • Counseling Services
    • Individual Counseling
    • Grief & Loss Counseling
    • Couples Counseling
    • Military Counseling
    • Child Centered Counseling
    • College Student Counseling
    • Family Counseling
    • Teen Counseling
    • EMDR
    • Trauma Informed Counseling
  • Telehealth
  • Clinical Supervision
  • Home
  • Meet the Team
    • Dr. Courtney Barber
    • Kaley Chiles
    • Christ Estep
    • Will Andres
    • Amanda Bear
    • Jessi Epperson
    • Kirsten Hughes
    • Tyler Kabat
    • Heather Laughlin
    • Leona Martinez
    • Mariah McConnell
    • MaeLee McKee-Borah
    • Jenni Monks
    • Lana Rogers
    • Cassie Salinas
    • Daryk Scott
    • Lisa Trickett
    • Elizabeth Mottram
    • Dr. Natasha Alvandi
    • Becki Belleman
    • Amber Crisp
    • Sarah Peterson
    • Annie Yockel
  • Counseling Services
    • Individual Counseling
    • Grief & Loss Counseling
    • Couples Counseling
    • Military Counseling
    • Child Centered Counseling
    • College Student Counseling
    • Family Counseling
    • Teen Counseling
    • EMDR
    • Trauma Informed Counseling
  • Telehealth
  • Clinical Supervision
Search by typing & pressing enter

YOUR CART

 To become a new client, please fill out the form below. All new clients MUST fill out this form, in its entirety, to begin the intake process. If this form is not completely filled out, there may be a significant delay in starting services. Please begin by clicking next to the "First Name" field. 

If you are a private pay client, not using insurance, and DO NOT plan to use out-of-network benefits to receive reimbursement from your insurance company, please make sure you indicate that below so that you may be provided a "Good Faith Estimate" of the estimated cost of services. 




Do you consent to receiving emails?:
Are you a previous client of BFCW?:
Referral Source:
Service(s) being requested (Scroll)?:
Legal decision maker for minor under 12?:
Is DHS currently involved?:
DHS Case Contacts:
Is their a Guardian ad Litem (GAL)?:
Name and Contact Info for GAL:
Is there legal involvement?:
Is there current domestic violence?:
Recent substance abuse?:
Is this eating disorders related?:
Recent mental health hospitalization?:
Do you currently see another provider?:
LGBTQIA+ affirming provider?:
Christian/Faith Based Counseling?:
Specific provider you want to work with?:
Payment Type (Scroll):
Using Insurance?:
Insurance ID#:
Date of Birth:
Preferred location of service?:
Briefly, why are you seeking services?:

Location

​Barber Family Counseling & Wellness
Colorado Springs, CO Location
4775 Barnes Rd. Ste L
Colorado Springs, CO 80917

Las Vegas, NV Location
Coming Soon!
Phone: (719) 644-6131
Fax: (719) 434-9615
wellness@barberfamilycounseling.com

Appointments available week days, evenings and weekends.


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.