Before beginning this process, we suggest you contact our Referral coordinator at 970-384-7484. All admission forms must be filled out completely and faxed back to 970-945-8491. YRC will also accept scanned copies emailed to alevenson@vvh.org.
Click on the links below to view or print our forms (pdf format).
Informational Forms
Forms to be filled out
- Release of Information – Youth 15 and older must sign with their parent / guardian.
- Pre-admission Questionaire – To be filled out by the youth.
- Issues /strengths – To be filled out by the youth.
- Parent/guardian questionnaire – To be filled out by parent / guardian.
- Application – To be filled out by parent / guardian.
