Home
About
Services
Getting Started
Resources
Contact
Blog

773-742-5988 | echo@improvinglifecounseling.com

Schedule an Appointment

Appointment Request

Please complete the form below to schedule an appointment. I will try my best to accommodate your request and will be in touch ASAP.

Name

E-mail *

Phone

Preferred Time and Date

Comment or Message *

Terms of Use *

Yes, I want to submit this form

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.

Message

A Bright Site by Brighter Vision

Given the health and safety concerns surrounding the COVID-19 situation we are currently offering telehealth/video sessions to provide you with support during this challenging time.