Appointment Request

Appointment Request

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


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The benefits and value you gain from therapy will not end at our last session – you can carry them with you for the rest of your life when you accomplish the goals and change you desire. When you book your appointment, I know you are dedicated to transforming your life because you’re willing to invest in yourself.

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.