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    2419 East Commercial Blvd. Suite 203 | Fort Lauderdale, FL 33308
    954-356-2903

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    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.

    (Thanks for requesting an appointment.  Although this website is secure please do not enter confidential, privileged or sensitive information. As with any information shared over the Internet there is a risk that the information could be intercepted, viewed or retrieved by a third party.)

    By submitting this form via this web portal, you acknowledge and accept that 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.

    Disclaimer: Thank you for contacting me. Please be aware, that submission of this contact form does not constitute or form a therapist-client relationship. Please limit content to general inquires only. By submitting this form, you acknowledge electronic communication cannot be guaranteed and you agree to accept any associated risk. You also agree to hold Simone Finnis, LMFT/Simple Therapy Now, harmless for any unauthorized use, disclosure, or access to your information. Please do not use this form for solicitation purposes.

    Simple Therapy Now
    simone@simpletherapynow.com | 954-356-2903

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