(206) 972-6249

victoriaventurella@centralpurposetherapy.com

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.

Client Intake

Client Information

Authorization for Release of Information

Limits of Confidentiality

CONTACT TODAY



victoriaventurella@centralpurposetherapy.com
(206) 972-6249

Proud Member of TherapyDen

Got Questions?
Send a Message!

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.