Make an Appointment: 808-312-2827 | Email Us

Home
About
- Dr. Dominique Bale
- Dr. Janet Thomas
Services
- Psychological and Neuropsychological Testing
- Individual and Family Therapy
Getting Started
Resources
Contact us
Blog

Client Forms

If you are new, please feel fill out these intake forms prior to the first session.

Adult Intake Form

Child Intake Form

Contact us Today

1001 Kamokila Blvd
James Campbell Building, Suite 262

Kapolei, HI 96707

Send Us Your Question

Name *

E-mail *

Phone

Therapist Choice

Type of Service

Comment or Message

Terms of Use *

Yes, I want to submit this 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.

Website

Contact Us

1001 Kamokila Blvd
James Campbell Building, Suite 262

Kapolei, HI 96707

Connect Online

Privacy Policy | Website by Brighter Vision