BeFree Counseling

Christian Counseling for Sexual Addiction

GET IN TOUCH CONTACT

Counseling Appointment Request

Christian Counseling Appointment Request:

Contact Justin: Online Scheduling with Justin HERE

 

Please complete the form below to schedule an appointment with BeFree Counseling. We will try our best to accommodate your appointment request and will be in touch ASAP.

    Your Name (required)

    Your Email (required)

    Your Phone Number

    What time of day is best for you?

    Your Message

    Terms of Use

    Yes, I want to submit this form
    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.