Appointment Request

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Schedule an appointment

Please click the following link to self-schedule for counseling or medication management services. You will need your insurance information and credit information to register and schedule with a therapist.

If you prefer assistance, you can fill out 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.