Client Forms

Client forms are sent confidentially through the patient portal once you request an Intake appointment. Your therapist will send you a Welcome Email from the patient portal and include all paperwork needed prior to your scheduled appointment time/date.

Complimentary 15-Minute Consultation Request

Use the form below to send us a message. You may also call or email anytime.

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.