Request an 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.

Appointment Request

2026


"There is no greater agony than bearing an untold story inside you."

~ Maya Angelou from I Know Why the Caged Birds Sing


If you are an adult wishing to schedule individual therapy, couples therapy, life / health / career / ADHD coaching, emotional regulation and relaxation skills training, or biofeedback for chronic pain and stress management. Don’t hesitate to make your personal goals, overall emotional well-being, and relationship a top priority today!

PLEASE NOTE: This Appointment Request form is intended ONLY for new clients interested in scheduling. Any and all marketing solicitations and business-to-business (B2B) solicitations will be automatically treated as spam and will therefore not receive a reply.

Any Appointment Request form submitted with any non-required field left blank when submitted might be mistaken as spam and may therefore not receive a reply if assumed it was submitted by a chat-bot or spammer. 

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.

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