Make an Appointment: (510) 455-2698 |   [email protected]

[email protected] | (510) 455-2698
Contact
  • (510) 455-2698
    [email protected]
    • banner image

    Client Forms

    If you are new, please complete these intake forms and send them back to me before our first session. They are downloadable PDF’s. Thank you.

    logo

    (510) 455-2698
    [email protected]

    Offering online services in Oakland, CA

    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.

    If you have any questions, please contact Michelle at [email protected].