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Forms

Welcome to our Forms section. To streamline your experience, we've provided a variety of forms for you to complete. If you have any questions or need assistance, do not hesitate to contact our office.

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Tel: 719-286-9077

Fax: 719-431-6193

Bloom in Cripple Creek

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100 W Bennett Ave,

Cripple Creek, CO 80813

In the Aspen Mine Center West Office

Opening Hours

Mon - Thurs

8:00 am – 5:00 pm

* If you are experiencing a mental health emergency or crisis, please call 911 or contact the Colorado Crisis Services line at 1-844-493-8255.

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For therapy inquiries, please fill out the request form.

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