Consultation Request

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Schedule Your Free Consultation

Please complete the form below to schedule a consultation to be sure we’re a good fit before starting therapy.

Please let me know what different times you’re available for a 20-minute Zoom consultation over the next week, during the day or evening, along with indicating your preferred way to be contacted (email, phone, or text).

My regular business hours are Monday through Thursday, 9AM to 3PM. I’ll do my best to accommodate your request and will follow up as soon as possible during business hours.

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.