Make an Appointment: debraschnacktherapy@gmail.com | (503) 804-4667
Contact
debraschnacktherapy@gmail.com | (503) 804-4667

Appointment Request

Appointment Request

You can use this form to send me an online inquiry if you would like to set up an appointment or if you have any questions about me or my therapeutic approach. Please know that this on-line inquiry is NOT HIPAA protected.

"Courage doesn't happen when you have all the answers. It happens when you are ready to face the questions you have been avoiding your whole life."
—Shannon L. Alder
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.

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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.

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