AMI's Contact Form

Request A Consultation With AMI's Doctors

Welcome to AMI's potential client email page. We are happy to correspond with you about any question or concern you might have before deciding to come in for a consultation.

NOTE: A consultation is billed at the same rate as a therapy session ($150 for fifty minutes). If you have not already done so, please review AMI's fee structure before filling out this form. To avoid misunderstandings, please be aware that AMI does not accept medical insurance of any kind. If requested, AMI will provide a "super-bill" for clients whose PPO's allow out of network providers and might reimburse some of your cost, but AMI does not directly interact with insurance companies for any reason. AMI is a private pay facility only, and fees are paid in full by the patient (or some related third party) before services are rendered.

If you prefer to contact AMI by phone, please call (720) 316-2321 now.

How Did You Find AMI?:
Which Doctor Would You Like To Consult With?:
First Name(s): *
Last Name: *
What Is The Age of the Prospective Patient?:
What Is Your Relationship Status?:
How Many Children Do You Have?:
City: *
What Type of Therapy You're Interested In?:
What Is The Best Phone Number For You:: *
What Email Should Dr. Wilson Respond To? *
Please Re-Enter Your Email Address:: *
Why are you seeking therapy? Please be as specific as possible: *		Enter comments here!