• Appointment Request

    Appointment Request

    For your convenience, you can schedule online via Set Appointment Now
    You may set up your own account or the receptionist can give you a username and password when you call to
    schedule your first appointment. After your first visit, please access this portal to schedule or cancel
    future appointments. To access the portal, visit Set Appointment Nowand select my name.
    The first time you can only schedule one appointment, after that as many as you wish.

    You can also complete the form below to schedule an appointment date as well.
    I will try my best to accommodate your request. I am committed to your privacy. Do not include confidential or private information regarding your health condition in this form or any other form found on this website. This form is for general questions or messages to me.

    "A winner is a dreamer who never gives up."
    - Nelson Mandela

    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.