nancyweisman.phd@gmail.com | (301) 254-4558
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Make an Appointment: nancyweisman.phd@gmail.com | (301) 254-4558
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(301) 254-4558 | nancyweisman.phd@gmail.com

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  • Home
  • About
  • Services
    • Telehealth
    • Anxiety
    • Depression
    • Relationships
    • Stages Of Life
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
  • Contact
  • Blog
  • Facebook
  • LinkedIn
(301) 254-4558

nancyweisman.phd@gmail.com

Courage. Patience. A Knowing Heart.

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Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

  • Client Contact Information Sheet
  • Client Intake Form
  • Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

  • Authorization for Release of Information

Request An Appointment

5415 West Cedar Lane, Suite 208-B
Bethesda, MD 20814

(301) 254-4558
nancyweisman.phd@gmail.com

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.

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About Us

I treat teens to seniors, individuals, couples, and families.     Let’s address the issues you face, and discover ways to a life of greater substance and joy!

Office Hours

By appointment only.
Sunday through Thursday

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Contact Information

5415 West Cedar Lane, Suite 208-B
Bethesda, MD 20814

(301) 254-4558
nancyweisman.phd@gmail.com

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