Professional Referral Let’s Work Together Are you a health or wellness professional looking to make a referral to Light of Hope Counseling? Complete the form below and we will reach out to you to see how your referral could be a solid fit for Light of Hope Counseling. Please enable JavaScript in your browser to complete this form.Name *Email *PhoneComment or Message *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. *Yes, I want to submit this formCommentSubmit
