Appointment Request

Appointment Request

Interested in learning more and want to take the next step?

I am here to help. The fastest way to find out about availability is to complete the form below. Please be aware, all services for the time being are TeleHealth Online virtual visits due to COVID 19

Please note that submitting this form does not guarantee an appointment. I will get back to you as soon as possible!


Together We Can Tackle What's Holding You Back

By submitting this form via this web portal, you acknowledge and accept that 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.