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    Request an appointment

    To request an appointment or check appointment availability, please complete the form below.

    To ensure your needs align with my scope of practice, briefly include information on your focus of therapy (ie anxiety, substance abuse, etc.), appointment day or time preferences, the state in which you reside, and the insurance you will be using, if any.

    All email correspondence will be responded to by the end of the next business day.

    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.