We’re currently seeing all clients online.

We're currently seeing all clients online.

Contact

Initial Appointment Request

We are glad that you are taking the first step to begin your journey of wellness. We are providing Online Counseling sessions due to COVID-19. Please complete the form below to help us serve you. For additional questions, You can email admin@liferebirthed.com.

 

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.

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24300 Chagrin Blvd Suite 210
Beachwood, OH 44122

216-200-5433
admin@liferebirthed.com

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.