Brighter Futures Counseling | Counseling | Therapy | Group Services | Elizabethtown KY

Elizabethtown's Counseling and Therapy Specialists

  • About Us ▼
    • Meet Our Therapists
    • Meet Our Staff
    • Check Out Our Space
    • Ages Served
    • Evidence Based Practices
    • Career Opportunities
  • Services ▼
    • Individual Therapy
    • Group Therapy
    • Family Therapy
    • Play Therapy Trainings
    • Professional Trainings
    • Court Related Needs
    • Other Services
  • Resources ▼
    • Coronavirus (COVID-19) Resources
    • FAQ
    • Payment Options
    • First Visit
    • Forms
    • Resources & Helpful Links
  • Connect ▼
    • Find Us
    • Contact Us
    • Comment Card
    • Make a Referral
    • Schedule Now
    • Records Request
    • Family Team Meeting (FTM) Request
  • Photos ▼
  • Training ▼
    • All Trainings
    • Play Therapy Trainings
    • KY Board Approved Suicide Training
    • KY Board Approved Domestic Violence Training
    • KY Board Approved Law & Ethics Trainings
    • KY SW Board Approved Pediatric Abusive Head Trauma Trainings

Forms

Initial Forms 

Professional Services Agreement

Consent for Services

HIPAA Privacy Policies

HIPPA Acknowledgment

Child Demographic Form

Insurance Billing Agreement

Medication and Allergy List

Declined PCP/MH Provider Authorization

Child Symptom Screening

Patient Stress Questionnaire

Ongoing Forms

Authorization to Release Information Form

Therapy on School Grounds form

270-982-9292

Connect With Us

Make a Payment
Make a Referral
Schedule Now
Records Request
FTM Request

Newsletter Signup

* = required field
Brighter Futures Counseling · 1002 North Mulberry Street · Elizabethtown KY 42701 · 270-982-9292

Facebook   |   Twitter   |   Google+

Copyright © 2022 Brighter Futures Counseling | Site Design by