The Intake Forms given for download are applicable only for users of A Brighter Day Counseling Services.
- Marjetta Gulley
User Rating: 2 / 5
Intake Form for Downloading:
HIPAA Form
The Guidelines and Agreement Form are applicable only to users of A Brighter Day Counseling Services.
- Marjetta Gulley
User Rating: 4 / 5
Guidelines and Agreement Form for Download and Printing:
The CMS-1500 Form are only to serve as an example of the Government Required Form. This must be printed then submitted in the RED inked paper.
CMS_1500 Form for Download and Printing:
The CMS-1500 Form are only to serve as an example of the Government Required Form. This must be printed then submitted in the RED inked paper.
HIPAA Form for Download and Printing:
For Assistance Contact:
A Brighter Day Counseling Services
1258 Concord Road SE Suite 101
Smyrna, Georgia 30080
Ph: 404-428-3104
Fax : (404) 549-6258
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
About A Brighter Day Counseling
A Brighter Day Counseling Services is dedicated to assisting each individual encountered to function at their highest capacity. A Brighter Day's counseling practice is based on biblical values. There is a sincere desire to help others cope in a healthy manner.
My practice is here to assist each person with gaining the essential tools needed to improve their lives. While I offer confidential services for a variety of concerns and issues, my specialties include: Grief and Loss, Marriage and Family Counseling, and Pre-Marital counseling. I welcome individuals, couples, families and groups.
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