Intake Forms 2022-01-18T15:47:27+00:00

For your first visit to Miracles Mooresville or Denver, you will need to complete consent form paperwork. We require consent forms completed and insurance cards to be presented before scheduling of evening and weekend appointments.

If you have provided us an email address, you have been sent paperwork through our portal which can be accessed here.

To download and print our Intake Forms, please click, below:

Adult Intake Packet

Child Intake Packet

Patient Rights and Responsibilities (Medicaid Clients Only)

Forms are PDFs. Adobe Reader required to view and print forms.


If you would like to set up an appointment  in Mooresville or have any questions or concerns please contact Miracles Counseling Centers at 704-664-1009 ext 10. If you would like to make an appointment to be seen in Denver please call 704-483-3783. Together we will make a decision about who will work best for you to begin your path to healing. Remember to stop, breathe in through your belly and find some good in your day.


Additional Information regarding privately paying for services or filing with out of network insurance benefits:

The No Surprise Act (NSA) & Good Faith Estimates