Client Forms Copy

If you are new, complete in full and submit the below intake forms before the interview session. These forms must be filled out and receipt confirmed before the interview session will be scheduled.

Client Intake Form

Information Sheet

Limits of Confidentiality

Please note: Essential components of this evaluation of appropriateness include a formal referral by an actively licensed medical professional with whom you currently have a professional relationship. Per signed release/s of information, ongoing professional conversations between Tammy and that professional will be a component throughout the period of utilized services.
(720) 772-8022

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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.