• Appointment Request

    Appointment Request

    Please, feel free to click the link for a Free 15 Minute Consultation or complete the form.

    Awareness leads to insight which is change in of of itself.

    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.