INTAKE AND DISCLOSURE FORMS
Please download both the BPS Intake and BPS Disclosure forms.
Fill out and sign both forms. Print out the forms along with a copy of your insurance card front and back plus a photo ID. Email or fax the scanned signed forms and ID information to:
Email - bps@buckpsy.com
Fax - 303-750-5309
DOWNLOAD BPS INTAKE FORM
DOWNLOAD BPS DISCLOSURE FORM
DOWNLOAD BPS MILITARY ONE SOURCE FORM
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