Appointment Requests

Please use the form on this page to Request an appointment or send a message. You may also call, or email anytime using the information below.

"There is no greater agony than bearing an untold story inside you."
― Maya Angelou

Please send all Requests Here:

If you would like to Request an Appointment, please use the form below. We will attempt to return your message within 48 hours.

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.