1. Download a copy of our referral form. (The form is in PDF format. You will need Adobe Acrobat Reader to view and print this form. You can download a free copy of Acrobat at the Adobe web site.)
   
   
2. Fill out the form (everything except appointment date/time).
   
   
3. Fax it to us at 720-859-7780. Once we receive the referral form, our staff will contact the insurance company for authorization, and then we will contact the patient to schedule an appointment.
   
   
4. Send pertinent medical records to:
   Psychological and Biofeedback Services of Colorado, LLC
   830 Potomac Circle, Suite 265
   Aurora, CO 80011

If you have any questions, please call us at 303-344-0937.