Client Forms

Please take some time to print and complete all three of these forms and bring them to your first appointment.

Client Information Sheet

Consent to Treatment

Insurance Verification Form

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

5068 Yosemite Court
Denver, CO 80238

Got Questions?
Send a Message!

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