By you filling out these forms ahead of time, it gives us more time to talk about why you are coming in and less time filling out the paperwork. However, if you cannot print or are having trouble viewing these, please contact your therapist and we can work with you to get these. It is NOT a problem if you don’t have these, please just come  ten (10) or fifteen (15) minutes early so you can fill them out before session.

If you’re a new client, please complete the new client paperwork as well as your therapist’s disclosure form below and bring them to your first therapy session. Each member of the family that will be participating in therapy needs to fill out a registration form and the checklist of concerns.

New Client Paperwork:
Adult Registration
Child/Adolescent Registration
Client Checklist of Concerns
Credit Card Payment Authorization
HIPPA Long Form Notice of Privacy Practices
Emergency Numbers

Your Therapist’s Disclosure form: PLEASE ALSO PRINT THIS OUT
Angela Schubert, PhD, LPC, please also fill out her Disclosure form-AS.
Sarah Richards, MA, Registered Psychotherapist, please also fill out her Disclosure form-SR.
Melanie McClung-Eidsmoe, LPC, RPT, please also fill out her Disclosure form- MM.
Anastasia Canfield, MM, MT-BC, RP, please also fill out her Disclosure form-AC.
Megan Backstrom, Practicum, please also fill out her Disclosure form-MB.
Jennifer Duran AA, BS, MA, LAC, please also fill out her Disclosure form- JD.
Jerleen Sinkes MFTC, please also fill out her Disclosure form-JS.

Other pertinent forms (Optional)

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

If you would like us to share information with someone other than a provider (for example, your teacher, family member, friend, attorneys, Department of Human Services, employer, etc.), complete this form to authorize release of psychotherapy information.

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Brightside Counseling Services, LLC
5650 Greenwood Plaza Blvd. Suite 144 & 145
Greenwood Village, CO 80111



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Brightside Counseling Services, LLC  |  303.353.9226
5650 Greenwood Plaza Blvd. Greenwood Village, CO 80111