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Helpful Forms

If you are a new client of Hope Counseling Services LLC, please be sure to fill out the following forms. Then, bring the forms with you to your first session to ease yourself into counseling with him, and allow as much time as possible to focus on you.

If you think that you would like to have your counseling collaborated with another therapist or counselor, simply fill out the following form, and we can set that up.

Authorization for Release of Information

Your Name*
Email*
Phone*
Preferred Time
Your Message
Terms of Use*
- Yes, I want to submit this form
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.