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Appointment Request

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Schedule a Consultation

I like to schedule a free, 30 minute phone consultation so we can meet, answer any questions we have, and see if we are a good fit. If you would like to schedule a consultation, please complete the form below.

I will try my best to accommodate your request and will be in touch ASAP.

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.