Healing in Relationship

Darleen Gegich, MA, LPC
Licensed Professional Counselor & Certified Imago Relationship Therapist

New Individual Client Forms

Credit Card Authorization Form

Confidentiality Release Form


New clients please choose the appropriate link below based on the type of service you are coming in for.  Print and fill out the forms and bring in for you first session.

Darleen Gegich, MA, LPC
1910 7th Street,  Boulder, CO 80302

3830 Florentine Cir, Longmont, CO 80503

(720) 515-4711

New Family Forms