Consultation Request

Please complete the form to schedule a consultation call.

We will e-mail you within the next 24 hours to find a day and time that works for your schedule.

Our call should last 10-15 minutes, and we can typically schedule an initial appointment within a week’s time.

 


“There is something inside you that is greater than any obstacle.”

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.