Availability anticipated in January 2023

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Request intake information

For faster response, please note the age of the prospective client and the general issues to be addressed. For example, anxiety, depressed mood, relationship issues, habit change, or grief work. 

Thank you!

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.