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Schedule An Appointment

Please complete the form below to schedule an appointment.
I will try my best to accommodate your request and will be in touch ASAP.

Please complete the requested information and I will contact you regarding your free initial 15 minute phone conversation. Please know that email is not a completely secure platform. Please only include information necessary for me to contact you. We can discuss more details and information during your consultation. I look forward to learning more about your needs and desires for counseling.

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.