Make an Appointment: [email protected] | 702-854-2168

[email protected] | 702-854-2168

[email protected]
NV: 702-854-2168 | TN: 615-925-3356 | AL: 256-801-3139

  • 702-854-2168
    [email protected]
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    Client Forms

    If you are new, please feel free to fill out these intake forms before our first session.

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Client Portal

    Nevada Clients

    851 Rampart Blvd.
    Las Vegas, NV 89145
    702-854-2168
    [email protected]

    Tennessee Clients

    Telehealth Only
    615-925-3356
    [email protected]

    Alabama Clients

    Telehealth Only
    256-801-3139
    [email protected]

    By submitting this form via this web portal, you acknowledge and accept that 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.