Make an Appointment: t.schneider.phd@gmail.com | (614) 653-5281
(614) 653-5281

t.schneider.phd@gmail.com

New Patients

The following is a list of paperwork for New Patients that will be filled out prior to our first meeting. Feel free to browse the pages, but all paperwork will be sent electronically  for completion prior to our first meeting.

COVID Prescreening Questionnaire

In Case of an Emergency

Informed Consent for Telepsychology

Informed Consent for Therapy

Notice of Privacy Practices

Release of Information

Social Media Policy



670 Meridian Way Suite 163
Westerville, OH 43082

t.schneider.phd@gmail.com
(614) 653-5281

Got Questions?
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.