• Appointment Request

    Appointment Request

    Please complete the form below to contact me. Be sure to provide your email address. I will send you a link to schedule a free phone consultation.

    Why is it so important to be in the moment?
    Because we create the moment.

    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.