• Appointment Request

    Appointment Request

    Please complete the form below to schedule an appointment.
    I will try my best to accommodate your request and will be in touch ASAP.

    If you are a new client and wish to set up your first appointment please follow this link to register

    New Client

    If you are an existing client and you need to schedule, cancel or reschedule an existing appointment, please click the following link:

    Existing Client

    “What lies behind us, and what lies before us are but tiny matters compared to what lies within us.”

― Ralph Waldo Emerson

    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.