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