• Appointment Request

    Appointment Request

    Please complete the form below to schedule an appointment.

    We will try our best to accommodate your request and will be in touch ASAP. Be certain to select the correct service you have interest in to help us expedite your request.


    β€œIt’s up to you today to start making healthy choices. Not choices that are just healthy for your body, but healthy for your mind.”
    ― Steve Maraboli

    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.