Consultation Request

Consultation Request

To schedule a FREE COACHING CONSULTATION or to obtain additional information about any of my services, please fill out the form below or give me a call.

We are committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to the practitioner.


Understand. Heal. Grow. We Can Do This Together

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.