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Schedule a Consultation

Please complete the form below to schedule a Free 30-40 minute No-Obligation Consultation/Visit.

I am committed to your privacy. Please do not include any personal or confidential information (Protected Health Information (PHI)) about your self or your health on this or any other form on this website. 

I will try my best to accommodate your request via phone or email within 24-48 hours.

*Watch your spam folder for my email! I don't want to miss you!

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.