Appointment Request Please complete the following form to schedule a brief phone consultation. Existing/returning clients can use the following link to make appointments: https://alison23.mytherabook.com/appointments/new Change is constant, how we react is dynamic … Learn how to lean into change Please enable JavaScript in your browser to complete this form.Name *Email *Phone *Preferred Date and Time for Phone ConsultYour MessageBy 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. *Yes, I want to submit this formEmailSubmit
