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Appointment Request

Appointment Request

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

Give yourself the opportunity to explore your inner self and navigate through your emotional situation to gain self-awareness, start making changes in your life and feeling the way you deserve. Book your appointment today and let the journey begin!


The only journey is the one within.

- Rainer Maria Rilke -


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.