New Clients

Welcome to Brightness Within!

If you’ve already scheduled an appointment with us, please be sure to complete the New Client Intake Form prior to your appointment. Please contact us at or (619) 675-3737 if you need assistance.

New Client Intake Forms

Client Intake Form PDF | Client Intake Form DOC

New Patient Inquiry

If you are interested in learning more about services at Brightness Within, please complete the information below.

  • MM slash DD slash YYYY

  • Please briefly let us know your health concerns. All information will be kept confidential.