Make an Appointment: 410-873-9269 | ashleycutler@awcservices.sprucecare.com

ashleycutler@awcservices.sprucecare.com | 410-873-9269
banner image

Client Forms

If you are new, please feel free to fill out this intake form before our first session. 

Information Sheet

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information


410-873-9269
ashleycutler@awcservices.sprucecare.com

Telehealth in Maryland

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.