Appointment Request

Information regarding fees and insurance can be found here.

Please complete the form below to request a free initial phone consultation.

It takes a village to raise children and we are honored to be part of yours!

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.