banner image

Schedule An Appointment

To obtain additional information about any of these counseling services, please fill out the form below and I will be in contact by email. I will make every effort to reply within 48 hours.

You may also complete the form below to request an appointment. I will try my best to accommodate your request and will be in touch ASAP.  PLEASE UNDERSTAND, YOUR REQUEST FOR AN APPOINTMENT IS NOT A CONFIRMED APPOINTMENT.

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.