847-868-2132

info@andcounseling.com

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.

"As you start to walk on the way, the way appears." - Rumi
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.


5225 Old Orchard Rd STE 24B
Skokie, IL 60077

info@andcounseling.com
847-868-2132

Got Questions?
Send a Message!

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.

Find My Office