Brighter Days Counseling Services, LLC

  • "Happiness is not the absence of problems; it's the ability to deal with them."- Steve Maraboli
  • "It's not the load that breaks you down, it's the way you carry it."- Lou Holtz

Intake Forms

If you are interested in scheduling an appointment, please contact the office at 1 (337) 515-5654 or email

New clients MUST complete mandatory intake forms PRIOR TO the first appointment.

Intake forms may be filled out in the lobby immediately before your appointment. Please be sure to arrive at least 20 minutes early.

For your convenience, intake forms can also be downloaded here. You may bring them with you the day of your appointment or send them via mail, fax or email prior to your appointment. Forms can be mailed to:

Brighter Days Counseling Services, LLC
748 E Bayou Pines Suite B
Lake Charles, Louisiana 70601

or faxed to 1 (337) 214-1836

or emailed to

If you are 18 years of age or older and are scheduling an appointment for yourself, please select “Adult Intake Form.”

If you are a parent or guardian scheduling an appointment for your child under 18 years of age, please select "Minor Intake Forms." Please note that I may not be able to see your child until you supply a copy of all appropriate papers related to the custody of your child including the most recent legal custody arrangements.