top of page
Contact

By sending this form I acknowledge that internet messages are not always 100% secure and may contain computer viruses or other defects, or may be intercepted, deleted or interfered with, with or without the knowledge of the sender or the intended recipient. 

I understand I can email info@brilliantmindstherapy.com and arrange for a phone call instead. This may take longer than filling out the form, but will ensure 100% privacy. 
 

       No Referral Required               Accepting New Patients

How can we help?
What issues are you seeking help for: Required
How did you hear about us?
You can contact me by (can select more than one): Required
Do you have coverage under the following benefits? Required

Thanks for submitting, we’ll get back to you shortly. 

Please check your 'junk mail' folder (email) to ensure you don't miss our response.

info@brilliantmindstherapy.com

  • Facebook
  • LinkedIn
bottom of page