Appointment Request My regular session hours are 6:00-9:00 p.m., Monday through Thursday; and Saturdays from 9:00 a.m. – 1:00 p.m. Please complete the form below to request an appointment. I will try my best to accommodate your request and will be in touch ASAP. "There is no greater agony than bearing an untold story inside of you."- Maya Angelou Please enable JavaScript in your browser to complete this form.NameE-mail *PhonePreferred Time and Date Comment or Message *Terms of Use *Yes, I want to submit this formBy 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.WebsiteSubmit
