Call & Text: (616) 426-9401 | information@lifesupportllc.info

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Life Support LLC

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    • Jason Clauser, LMSW
    • Angelina Scianna, LMSW
    • Katie Papke, LMSW, CAADC
    • Lori Hain, LMSW
    • Miguel Quintanilla, LMSW
    • Desiree Davis, LMSW
    • Kelly Fairchild, LMSW
    • Kirsten Rahn, LLMSW
    • Carolyn Sutherby, LMSW, PhD
    • Alyssa Smith, LMSW
    • Sarah Rhein, MA, LLPC
    • Victoria Lemmen, LMSW
    • Emily Langenau, LMSW
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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Client Intake

Client Information

Authorization for Release of Information

Limits of Confidentiality

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.

Office Hours

Office Hours are Available by Request
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Contact Information

2730 5 Mile Road NE Suite 101
Grand Rapids, MI 49525


Phone (Call & Text): (616) 426-9401
Fax: (616) 222-0294
information@lifesupportllc.info

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