Appointment Request

Appointment Request

Please complete the form below to schedule an initial free 15 minutes telephone consultation. Nicola Pierre-Smith, LPC will accommodate your request and will be in touch ASAP to get you started with one of our therapists.


Understand. Heal. Grow. We Can Do This Together

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.


1518 Walnut Street Suite 1100
Philadelphia, PA 19102

info@melanatedwomenshealth.com
(215) 720-1456

Got Questions?
Send a Message!

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.

Need Help Finding the Office?