CLIENT FORMS

Below are forms needed for your initial appointment with Chuck. Please click the link to open the form in PDF format. Print, complete the forms and bring them with you to your appointment.


CHURCH PARTNERSHIP AGREEMENT

The Church Partnership Agreement is used to request financial support for counseling through your local church. Please click the link to open the form in PDF format. Read it and fill out your portion, then present it to your church leader.


OFFICE LOCATION

Chuck has moved to a new office beginning Monday, October 2nd on the corner of West Alameda Parkway and West Center Avenue:

12211 W. ALAMEDA PARKWAY STE. 110
LAKEWOOD, CO 80228 | AREA MAP
Shared Office with GREY MATTERS COUNSELING

Enter any door and look for Suite 110 with the Grey Matters Counseling sign. Enter the office into the waiting area. He will greet you there for your appointment. Chuck’s office is in this shared space with other Christian counselors who offer various counseling services.

Contact Chuck with any questions:
Phone: 720-295-2827
Email: chuck@chuckfallon.com

Chuck Fallon, LPC - New Location

CHUCK FALLON, LPC