Down to the Root Denver Therapy LLC

Down to the Root Denver Therapy LLC Send Message

Your info

First name

Last name

Email

Phone

Name you go by

Date of birth

Gender

State

Select the state you live in

Reason for care

What is the reason for seeking care?

Stress/Anxiety Relationship issues Substance use Trauma or past difficult experiences LGBTQIA Other

Administrative

Referral source

How did you hear about me? (Google, AI search, another therapist, current client, psychiatrist, therapist directory, etc.)

Billing & Payment

Payment method

How do you plan to pay?

Insurance details

What insurance plan do you have?

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Client Preferences

In-person or telehealth

I prefer to be seen:

Is there anything else that the therapist needs to know?

For example: what you'd like to focus on, insurance or payment questions, etc.

Limited to 600 characters

Are you looking for a specific type of therapy?

EMDR IFS-informed therapy/Parts work Other I'm not sure yet or I don't have specific preferences

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice. You also agree not to submit any payment information, including credit or debit card details, through this form.