404-271-5104 colleenmitchell@createwell-being.com

Client Forms

If you are new, please take the time to print out the following forms to complete prior to our first session. This way you won’t have to spend paid therapy time filling out forms!

Client Intake Form

Information Sheet

Limits of Confidentiality

colleenmitchell@createwell-being.com
404-271-5104

5490 McGinnis Village Place #205
Alpharetta, GA 30005

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.