• Appointment Request

    Please complete the form below to schedule an appointment.
    I will try my best to accommodate your request and will be in touch ASAP.

    "Never mistake knowledge for wisdom. One helps you make a living; the other helps you make a life."

    - Eleanor Roosevelt

    By submitting this form via this web portal, you acknowledge and accept that 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 and Family Counseling Center LLC harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.