Request appointment | Intima Couples and Sex Therapy PLLC

Intima Couples and Sex Therapy PLLC

Request an appointment

Existing client? Sign In

Reason for care

Select date & time

1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What type of support are you looking for right now?

Individual therapy Couples or relationship therapy Sex therapy / intimacy concerns Ketamine-assisted psychotherapy I’m not sure yet

What brings you to therapy at this time?

A few sentences is enough. There’s no need to share everything here.

Have you been in therapy before?

Yes, currently Yes, in the past No, this is my first time

Are you currently experiencing thoughts about harming yourself or someone else?

No Yes

What are you hoping therapy will help you with?

Managing anxiety or stress Depression or low mood Relationship or communication challenges Sexual or intimacy concerns Healing from past experiences or trauma Personal growth / insight / self-connection

Do you have a preference for how you meet?

In-person Telehealth Open to either

What is your preferred payment option?

Inusrance Private pay

If using insurance, what is the first and last name of the insured member? Who is your insurance provider (ex. Aetna, Cigna, United, etc.)

If you are the insured person, you may write your own name. If not using insurance, write N/A.

If this is couples therapy and you are not using insurance who will be paying for the sessions?

Please type the name of the person paying for sessions. If you are, please type your name. If this does not apply, type N/A.

How did you hear about Intima Couples and Sex Therapy?

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

Intima Couples and Sex Therapy PLLC

720.254.1571 |

Lakewood

Main Location

9150 W Jewell Ave suite 105
Lakewood, CO 80232-6469

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Help Center

THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.