Client Forms

Most necessary client forms are completed electronically, through the client portal.  Alternatively, if you have trouble completing forms electronically you can complete the following forms and bring them to your first therapy session.

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:

Note: To download Adobe Acrobat Reader for free, Click here.



11 W. Highland Ave
Pennsylvania, PA 19118

info@drshadanadavis.com
(267) 282-1175

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DISCLAIMER: This form is not HIPAA Compliant. Do not send any protected health information via this contact form.
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.