We’re currently seeing all clients online.

We're currently seeing all clients online.

Initial Appointment Request

We are glad that you are taking the first step to begin your journey of wellness. If you have not already, please visit our services page to see what services we offer. At this time we are only offering Online Counseling sessions due to COVID-19.  Please use the form on this page to submit a request for an initial therapy appointment.

  • If you want to work with a specific therapist, you may add in the comment section of the appointment request form.

  • We will be in touch as soon as we can to finalize your session time and date.

  • You can email hello@liferebirthed.com if you have additional questions.

 

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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