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    Reach out today!

    Looking to become a client through VCTC? Please complete the form below and provide the following information:

    – Your insurance provider or if you are self-pay. (Please note that not all of our clinicians accept the same insurances.)

    – Reason(s) for seeking therapy.

    Please note that we are currently experiencing a high volume of requests at this time, so there may be a delay. If you are experiencing a mental health crisis, please contact your designated mental health agency or call 911. 

    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.