(410) 689-5181

kr@Marylandpsychotherapycenter.com

Client Forms

Congratulations in your decision to begin this journey!  It is normal to feel nervous or uncomfortable prior to your first session, but it is my hope that you will find safety, comfort, and understanding when you come to counseling.

Below are forms required at your first visit.
Please print and complete these forms and bring them with you to your first appointment.

Client Information

Office Policies and Procedures




Ellicott City, MD 21042

kr@Marylandpsychotherapycenter.com
(410) 689-5181

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.