Make an Appointment: [email protected] | 315-292-8883

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    Appointment Request

    Use the form below to tell us about your counseling inquiry, and we’ll get in touch with you as soon as we can. Please include your insurance company in case of the need for a referral to another provider. Our general response time is one to two business days, excluding Friday.

    After our initial contact and agreement to have an intake appointment, you will be asked to register online; I will give you the website for this process. Online you will fill out biographical information and insurance information so that I can check your benefits. If you are uncertain about your benefits, you may call your insurance company and ask for what benefits you or your child has for “outpatient mental health office visits”. You can also give them my name and address to double check if I am a provider in your network.


    Monday – Thursday
    9AM – 3PM (approximately)

    "Not everything we face can be changed, but nothing can be changed if it is not faced"

    - James Baldwin

    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.