(415) 462 4349

judit@mychoicetherapysf.com

Appointment Request

Please call or email to make an appointment. You can also complete the form below to schedule your first session. I will try my best to accommodate your request and will be in touch ASAP.

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.


605 B street
San Rafael, CA 94901

judit@mychoicetherapysf.com
(415) 462 4349

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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.

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