Suicide

This is a section of placeholder text that has been auto-generated for your new Brighter Vision website. You can edit, change, or remove this text by logging in to your Dashboard and making edits to this section or by emailing your edits, changes, or updates to your assigned Brighter Vision Design Team. Your Brighter Vision Design Team is always happy to help you change any of the placeholder text sections on your new Brighter Vision website and can typically do so within two business days of receiving your email. Again, this text block is placeholder text that has been auto-generated for your new Brighter Vision website.

Name *

Email *

Phone

Comment or Message *

Select which office/therapy method you would like assistance from:

Birmingham, AL (In-person)
Tuscaloosa, AL (In-person)
Online Therapy anywhere in Alabama

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.

Yes, I want to submit this form & agree to the terms of use.

Suicide

Offering in-person & online therapy options in Birmingham & Tuscaloosa, as well as online therapy options across Alabama.