Appointment Request

Appointment Request

If you would like to schedule an appointment, click here.

If you have questions or would like to schedule a free 15 minute phone consult, please complete the form below.

You should receive a response within 1-2 business days.

The past is a place of reference, not a place of residence.

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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