Appointment Request

Appointment Request

Please complete the form below to schedule an appointment.
I will try my best to accommodate your request and will be in touch ASAP. Make a note in the comment section if the appointment will be self-pay or insurance(name of insurance company)


"The key to mental and behavioral success is the ability to master self-awareness and emotional control."

Request Appointment


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.



12700 Preston Rd, Ste 150
Dallas, TX 75230

hello@dbennettcounseling.com
(469) 705-9914

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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.