Appointment Request

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Schedule an Appointment

Please complete the form below to schedule an appointment, or a 10 minute free Consult. I will contact you within 24 hours after receiving your contact information.

If this is an Emergency you are to contact: the 988 Crisis Hotline, 911, or go to the nearest hospital.


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.