jenniferbrownlcsw@outlook.com | (917) 494-1410
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Make an Appointment: jenniferbrownlcsw@outlook.com | (917) 494-1410
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(917) 494-1410 | jenniferbrownlcsw@outlook.com

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  • Home
  • About
  • Services
    • Individual Therapy
    • Online Therapy
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
    • Online Therapy Client Portal
  • Resources
    • Mental Health Links
    • Books My Patients Have Found Helpful
  • Contact
(917) 494-1410

jenniferbrownlcsw@outlook.com

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Client Forms

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

Policies, Informed Consent, and Telemental Health

Permission for Credit Card and Email Billing

No Surprises Act

Psychosocial Evaluation  Adult

Notice of Privacy Practices

Distance Counseling Assessment

Medication 

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Authorization for Release of Information

Contact Today

1400 Buford Highway Suite K-1
Sugar Hill, GA 30518

(917) 494-1410
jenniferbrownlcsw@outlook.com

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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About Us

My practice specializes in treating individuals, and through years of experience, I’m confident that no problem is too great to overcome.

Office Hours

Office hours are flexible. Please ask for current office hours.

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Contact Information

1400 Buford Highway Suite K-1
Sugar Hill, GA 30518

(917) 494-1410
jenniferbrownlcsw@outlook.com

Privacy Policy

A Therapist Website by Brighter Vision