Provider Portal

1. Review the Provider Contract

Please review and sign the Provider Contract before seeing clients.

2. Fill Out and Submit a W-9

Please download and fill out a W-9 tax form and email it to Info@yampavalleyreps.org.

3. Submit Your Information

Submit your personal information through the Provider Information Google Form and email your picture to Info@yampavalleyreps.org.

4. Schedule Sessions

Once REPS approves a client, they may contact you directly. Confirm they’re a REPS Referral before scheduling.

5. Provide Counseling

Offer up to 3 sessions.

6. Submit the Reimbursement Form

Complete a Payment Reimbursement Form per client, as often as you'd like (e.g., after each session, monthly or after all 3 sessions).

  • Upload an invoice including the client and number of sessions

7. Submit Final Session Evaluation

After the 3rd session, fill out a Final Session Evaluation Form to help us track outcomes and determine follow-up needs.

Provider Instructions

Thank you for partnering with REPS to support mental health in our community. Here’s what you need to know to participate in our counseling program:

Thank you for your dedication and partnership with REPS.

Questions? Please contact us:

Phone: (970) 846-8182
Email: info@yampavalleyreps.org