866-488-0493 | adrian@helpingothersheal.com

Helping Others Heal

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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Adolescent Consent Form

Client Intake Form

Couple’s Identifying Issues Form

Couples Intake Form

Court and Documentation Consent

Credit Authorization Form

Group Confidentiality Agreement

Release of Information

Treatment Planning Form

Contact Today

Adrian S. Turner



866-488-0493
adrian@helpingothersheal.com

1386 Old Freeport Road Suite 3B
Pittsburgh, PA 15238

932 5th Avenue (Suite A)
New Kensington, PA 15068

806 Green Valley Road Suite 200
Greensboro, NC 27408

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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.

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Office Hours are Available by Request
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Contact Information

1386 Old Freeport Road Suite 3B
Pittsburgh, PA 15238

932 5th Avenue, Suite A
New Kensington, PA 15068

866-488-0493
adrian@helpingothersheal.com

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