Appointment Request

Appointment Request

To schedule an individual or couples therapy, a life / career / wellness coaching, or biofeedback / stress management appointment or to obtain additional information about any of these clinical services, please fill out the form below, send an email, or give me a call.

Don’t hesitate to make your personal goals, overall emotional and physical well-being, and relationships a priority today!

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

~ Maya Angelou from I Know Why the Caged Birds Sing

As a mental health practitioner, I am committed to your privacy.  Please do not include confidential or private health information in this Appointment Request form. Also, please note that this Appointment Request form is intended only for potential clients who are interested in scheduling counseling with me. Marketing requests and business solicitations will be treated as spam and therefore will not receive a reply.

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.