Client Forms

Current Clients

If you have a password, please click on this Simple Practice button and use the Client Portal.  You can also contact me directly from this site, or download forms from here and bring them to your session.


Simple Practice


New Clients

You can book an appointment directly by clicking on the Simple Practice button.   If you want to talk to me first, please use the Contact or Appointment Request buttons and I will contact you ASAP.  If you decide to book an appointment, you’ll be able to schedule appointments on-line as well as fill-out the forms electronically on my secure, easy to use SimplePractice site.

Please fill out the forms on my SimplePractice site.  But if you really, really don’t want to fill out forms on-line, you can download them here and bring them to the first session.

Client Intake Form

Information Sheet

Agreement for Services

Clinical & Professional Form

Release of Information

PHQ-9, Depression Inventory


Contact Today

222 W Coleman Blvd
Mt. Pleasant, SC 29464

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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.