Make an Appointment: laurie.wallace@familyjourneys.net | 229-588-4051

laurie.wallace@familyjourneys.net | 229-588-4051

229-588-4051 | laurie.wallace@familyjourneys.net

  • 229-588-4051

    laurie.wallace@familyjourneys.net

    • Client Forms

    Client Forms

    If you are new, please feel free to fill out these intake forms before our first session. These forms can also be filled out during the first session.

    Intake Form

    Information Sheet

    Limits of Confidentiality

    HIPAA and Social Media Policy

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

    Authorization for Release of Information

    Contact

    1205 Baytree Tree Rd. Suite 7
    Valdosta, GA 31602

    229-588-4051
    laurie.wallace@familyjourneys.net

    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.