Let's Get Your Started Appointment Request Don’t forget: You can schedule a free consultation with us! Click this link to book. SCHEDULE A FREE CONSULTATION If you’d like to go ahead and request a first appointment, fill out the form below. The Road to Healing Begins Here Appointment FormFirst NameLast NameEmailPhone/MobileDate / TimeYour Message Yes, I want to submit this form 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.Submit Form