Consultation Request

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Schedule Your Free Consultation

Please complete the form below to schedule an initial, free consultation appointment to be sure we’re a good fit before starting therapy. Regular business hours are Monday through Thursday, from 9am to 3pm. Appointments are generally held during these times. I will try my best to accommodate your request and will be in touch as soon as possible.

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.