Client Forms

If you are new, please feel free to fill out these intake forms before our first session and email them to This allows me to spend the full amount of allotted session time focused on helping you heal.

Client Intake Form

Information Sheet

Limits of Confidentiality

Financial Agreement and Fee Schedule

Consent to Treat


Contact Today

The Truxton Trust Building
Suite 200
Nashville, TN 37205

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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.