Make an Appointment: 866-427-7989 |   [email protected]

[email protected] | 866-427-7989
Contact Now Schedule an Appointment

Offering online services in Lake Worth, Florida
[email protected] | 866-427-7989

  • 866-427-7989
    [email protected]
    • banner image

    Client Forms

    If you are new, please feel free to fill out these intake forms before our first session.

    If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

    Contact
    logo

    866-427-7989
    [email protected]

    Offering online services in Lake Worth, Florida

    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.

  • Have some questions first? You can always reach out here,
    or email me directly at [email protected]