Foundations Mental Health Center

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Appointment Request

Please complete the form below to schedule an appointment with one of our providers. We will respond to your request within 24 hours or on the next business day.

Helping Individuals, Families & Marriages Repair, Recover, and Thrive
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.