Client Forms

If you are new to my practice, please review, print out and complete the forms that are linked below, before our first session. The forms can also be mailed to you by the postal service.  If you review the forms before our first meeting,  it may be easier for you to ask questions about the more formal things like policies,  cancellations, confidentiality.  One form is a checklist that asks questions about the issues you are seeking help for. You would sign the agreement and office policies here in the office.

Patient Agreement

New Patient Form

New Patient Checklist

101 N Shoreline Blvd, Suite 325
Corpus Christi, TX 78401
(361) 558-0025

Got Questions?
Send a Message!

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.