Appointment Request

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You are welcome to contact me by phone. If I do not pick up your call immediately, I will return it within twenty-four hours (unless it is a week-end or holiday when it may take slightly longer)

You are welcome to email me at: This is a HIPAA compliant and secure email address.

I look forward to hearing from you.

“When the winds of change blow,
some people build walls and others build windmills.”
~Chinese Proverb

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.