Children, Adolescents,
Adults & Couples

Welcome to the mental health services of Brite Futures Counseling, LLC. We are pleased to have the opportunity to work with you or a loved one. We would like to take this opportunity to familiarize you with the policies and procedures at Brite Futures Counseling, LLC. This process should take no more than 20 minutes to complete. Please read the information carefully so that you can become familiar with our practices. Please sign and date each form where it is required. Each form is necessary in helping us begin to build a professional relationship with you or a loved one.

For all new clients we would request that you click on the “New Client Forms” pdf file which conveniently allows individuals to print out all the necessary forms in one step. While for additional convenience, we have each necessary form listed separately for those clients who may need access in the future.

Please rest assure our intention is not to make this process difficult but to assist in making your experience pleasant. Please contact us if you have any questions in regards to this process. We want to thank you again in advance for your cooperation and for choosing Brite Futures Counseling, LLC for your mental health service needs.

Have a pleasant day.

Brite Futures Counseling, LLC

New Client Forms:    Conveniently print out all the necessary forms for new clients in one step.

Policy and Consent for Treatment (Form 1): Educates our clients about our mental health practice and the various policies.

Registration Form (Form 2): Asks for demographic and insurance information.

Notice of Privacy Practices (Form 3): Describes client rights regarding their personal health information under HIPAA (Health Insurance Portability and Accountability Act).

Insurance Change Notification (Form 4): Explains our policy with regards to changes in insurance.

Electronic Communication Guidelines and Policy (Form 5): Understanding the appropriate use of electronic communication in a therapeutic relationship.

Client Communication Preferences (Form 6): Conveniently provides multiple ways to communicate with clients.

Consent for Mental Health Treatment of Minors (Form 7): Allows a legally responsible party to give permission for a child to seek mental health assistance.

Authorization for Release or Disclosure of Information (Form 8): Written permission to allow Brite Futures Counseling, LLC to communicate with an outside professional relevant to the client’s past/present progress.

Notes on Confidentiality (Form 9):

Telemental Health Services Informed Consent (Form 10):

Contact Us

We welcome you to contact us to receive a more personable interaction so that we may answer any questions. Questions are welcomed.