Make an Appointment: | 256-895-8148

| 256-895-8148

| 256-895-8148

  • 256-895-8148
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    Client Forms

    “A ship in harbor is safe, but that is not what ships are built for.”
    -John A. Shedd

    Forms can be filled out at the office 20-30 minutes before your first session or if you call the office (256-895-8148), you can request staff to mail them out to you so you can bring them already completed to your 1st appointment for in office sessions. For telehealth sessions, you could mail the forms back to the office.

    1643 Slaughter Road

    Madison, AL 35758

    256-895-8148

    By submitting this form via this web portal, you acknowledge and accept that 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.