Therapy with Shameela

Appointment Request

Please be aware that I am currently unable to accept new clients. If you would like to be placed on a wait list, feel free to fill out the form below. I apologize for any inconvenience.

If this is a mental health emergency, please visit your local hospital ER or call 911. Please, No Soliciting.

I am currently unable to take on new minor clients (under the age of 18).

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.