Appointment Request

Please complete the form below to schedule an appointment.
I will try my best to accommodate your request and will be in touch ASAP.

Compassionate Psychotherapy to Help You Find Peace and Happiness

Name *

Email *

Phone

Preferred Date & Time

How were you referred to Empowered Behavioral health?

Comment or Message

If seeking therapy or coaching, please briefly describe the reason you are seeking services and what days/times you may be available.

Are you a former client of Dr. Power's?

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 form

Message

76 Bedford st, Suite 12
Lexington, MA 02420

(781) 226-1196
info@empoweredbh.com