Live Well Practice, PLLC

Appointment Request

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


“When we love, we always strive to become better than we are. When we strive to become better than we are, everything around us becomes better too.”
― Paulo Coelho

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.


260 Madison Avenue 8th Floor
New York City, NY 10016

livewellpracticeny@gmail.com
646-443-6696

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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.