Referral

Referral Process for outside agencies. One form and one centralized location. The Referral process for becoming a client at the Center for Mental Health is easier than ever. All Referrals go to one centralized email folder or can be faxed to one location and clients will then be contacted. The email address is referral@centermh.org and fax # is 970-252-3208 Attn: Medical Records Coordinator.

External Referral Form (fillable) 1042019

(ROI) Authorization for Use and Disclosure of Health Information (FILLABLE) 08222018

SPANISH-(ROI)Authorization for Use and Disclosure of Health Information (fillable) 8222018