9085 East Mineral Circle | Suite 235 | Centennial, Colorado 80112 | Phone 720.299.8342 | Email

Following please find various forms and information relevant to my practice.  You may be requested to select certain form(s) from the list below and complete them as part of your initial intake procedure.  Please download, print and complete any applicable form(s) as directed and bring them to your initial appointment.  Please note that each form is linked to a printer-friendly, .PDF format for your convenience.  You will need Adobe's free Acrobat Reader to access the .PDF versions of these documents.  If you do not have Acrobat Reader already installed, you may obtain the latest version for free via a short download here.  Adobe programs and related icons are registered trademarks of Adobe Systems Incorporated. All rights reserved.
Client Information Form
Couples Information Form
Health Insurance Portability & Accountability Act
(HIPAA) Form
Confidentiality Policy in
Couples and Family Therapy Forms
Information, Disclosure & Consent Form
Consent for Treatment of Minors Under Age 15

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THERAPIST-PSYCHOLOGIST.COM
Only professionals meeting the high qualifications of their state and who are licensed to practice psychotherapy, counseling and other mental-health related services are included in the Therapist-Psychology.com directory. Click the link to access my listing.
PSYCHOLOGY TODAY
Only professionals meeting the high qualifications of their state and who are licensed to practice psychotherapy, counseling and other mental-health related services are included in the pages of Psychology Today.  Click the link above to access my credentials.
COLORADO PSYCHOLOGICAL ASSOCIATION
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THE NATIONAL INSTITUTE OF MENTAL HEALTH
AMERICAN PSYCHOLOGICAL ASSOCIATION
ENDOMETRIOSIS RESEARCH CENTER
an International 501(c) tax-exempt, tax-deductible foundation for which I am an elected Professional Advisory Board Member
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Colorado Licensed Clinical Psychologist License #2741.  © Copyright 2006-2017 by Dr. Jennifer Ritchie-Goodline.  All Rights Reserved.

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