Client Forms

If you’re a new client, please complete the following forms and bring them to your first therapy session.

Client Psychotherapy Intake Form
Limits of Confidentiality/Therapy Cancellation Policy

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Authorization to Disclose Information Form



2498 N Stokesberry Place, Suite 180
Meridian, ID 83646

joannk@activechangecenter.com
(208) 403-7488

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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.