Appointment Request

Schedule An Appointment

Reaching out for help is the first step. We are so glad you are here.

Please fill out the form below to get started and a member of the counseling team will contact you for a brief (about ten minutes) telephone intake. On this call we will learn about your counseling needs, scheduling preferences, and payment information so we can best match you with a therapist. Be sure to include your availability for that intake call in the form below.

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.