Appointment Request

Please complete the form below to schedule an appointment.

We will try our best to accommodate your request and will be in touch ASAP.

~ Heal ~ Connect ~ Flourish ~

Name *

Email *

Phone *

How did you learn about Flourish? *

Friend
Current/former Client
Google
Psychology Today
Insurance
Facebook
Instagram
LinkedIn
Youtube
Provider

If a provider referred you, what is their name?

Preferred Date and Time

Your 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

Privacy Policy

A Therapist Website by Brighter Vision

Due to the recent developments related to COVID-19, Flourish Counseling & Wellness is shifting to providing all clinical services to current and new clients via telehealth effective Tuesday, March 17th. The health and safety of our clients, team, and community is our top priority and we feel it is our ethical duty to protect it. We are accepting new clients and are available to answer any questions you may have.