• Facebook
    • LinkedIn
    • Twitter
  • Client Forms | Appointments

    12212 Breton Lane | Raleigh, North Carolina 27613
    lucie@Commit2Self.com | (919) 399-7353

  • Commit2Self

    • Home
    • About Me
      • About Commit2Self
      • Testimonials
      • Recipe for Weight Loss Book
      • Blog
      • Media Press Kit
    • Services Provided
      • Workshops
      • Wellness Program Materials
      • 2 Minute Drill Books
    • Getting Started
      • FAQs
      • Client Forms
      • Rates & Insurance
      • Request An Appointment
    • Resources
      • BMI Calculator
      • Latest News
      • National Physical Health Links
      • National Mental Health Links
    • Contact Me
      • Make a Payment

    Request An Appointment

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

      Name*

      Email*

      Phone

      Date

      Your Message

      Terms of Use

      Yes, I want to submit this form

      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.

      Lucie A. Knapp, MSW, LCSW
      (919) 399-7353 | lucie@Commit2Self.com
      A Website by Brighter Vision | Privacy Policy

      Copyright © 2023 - Brighter Vision