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.

Client Intake Packet

If you are coming in for a substance abuse evaluation, please print and complete the forms below and bring them with you to your first appointment.

Substance Abuse Evaluation Packet

If you are coming in for a DUI evaluation please complete the forms below and bring to your appointment

DUI Intake Form

DUI Intake Packet

If you are coming for a Domestic Violence or Anger Evaluation, please print the forms below and bring them with you to your appointment.

Domestic Violence/Anger Evaluation Packet

Confidentiality for Minors



suzanne@anotherchancesecure.com
208-321-5538

Send a Message

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.