Make an Appointment: [email protected] | 302-703-7779

[email protected]
302-703-7779
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    Client Forms

    If you are a new client and want to request a new appointment please return to the “Get Started” menu and complete an “Appointment Request.” We are currently accepting clients located in the states of Delaware, Florida and Pennsylvania for online teletherapy.

    Contact
    Delaware

    302-703-7779
    [email protected]

    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.