Make an Appointment: [email protected] | (858) 247-1928

[email protected] | (858) 247-1928

Appointment Request

Appointment Request

During COVID-19, we are still accepting new clients and scheduling appointments within the same week for phone and video sessions. Please complete the form below to schedule an appointment. I will try my best to accommodate your request and will be in touch ASAP.

The Road to Healing Begins Here
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 harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.
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 harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.