Bright Light Counseling Center Contact Form

Contact Us

Request an Appointment or Receive More Information
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Do you prefer to receive information/schedule an appointment by phone or email?*

PhoneEmail
How did you hear about us?*

GoogleAustin Area College or Graduate SchoolAsian American Therapist Directory/Asian Mental Health CollectiveBeing SeenChicago Area College or Graduate SchoolEMDRIAFind a PsychologistIMANA's Mental Health ProfessionalsInsurance ProviderMiResourceMuslimTherapists.coOpenPathPhysician, Therapist, or Other Health Care ProviderPsychology TodaySEEMASouthAsianTherapists.orgSocial Media (Facebook, Instagram)Therapy DenThrivingCampusWord of Mouth
What may we help you with?*
Which Clinician are you interested in working with?

Abia Hashmi, MA, LCPC, LPCAdam Scartozzi, MA, LCPC, LMHCBeth Marnix, Psy.D, LCP, HSSP, LPLee Rogers (Catherine E. Lee), MSSW, LCSWJulie Gruca, MA, LPCOpen to any clinician
What state do you live in?

IllinoisTexasColoradoFloridaIndianaWisconsin
Do you have a location preference?

TelehealthHybrid (Some sessions telehealth, some sessions in office)In Office - Chicago LoopIn Office - Central Austin
Will you be using your insurance?*

YesNoUnsure
Who is your insurance provider?

AetnaBlueCross and BlueShieldCignaHumanaUnitedHealth Care/Optum/Oscar/UMRSana
Do you have a Medicare or Medicaid Insurance?

YesNo
Are you covered under more than one insurance policy?

YesNoUnsure
Would you like to join our email list to receive future communications about support group offerings, blog posts, and helpful resources?

YesNo
Should be Empty:

Contact Us