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Blaise Rastello LCSW, LAC
(720) 391-9951
4475 Broadway
Boulder, CO 80304
US
(720) 391-9951
4475 Broadway
Boulder, CO 80304
US
Helpful Forms
If you’re a new client, please complete the following forms and bring them to your first therapy session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.