Make an Appointment: (318) 507-0621 | admin@behavioralhealthclinicla.com

admin@behavioralhealthclinicla.com | (318) 507-0621

Client Forms

New patient intake forms will be available here. Please contact our office at 318-507-0621 or admin@behavioralhealthclinicla.com and we will send you everything you need prior to your appointment.

Contact Us or Schedule an Appointment
logo

(318) 507-0621
admin@behavioralhealthclinicla.com

5521 Airline Drive Suite B
Bossier City, Louisiana 71111

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.