Appointment Request

Schedule an Appointment

Please use the form on this page to send a message.
You may also call, or email anytime.

(289) 236-3253 [email protected]

If you want to communicate with us using a more secure means of communication than regular email or the form on this page, please use the buttons below. These will take you to our client portal page where you can create an account with your contact information and communicate with us with our secure, PHI (Personal Health Information)-compliant method.

Book Now Send Secure Message

 


You don’t have to be great to start, but you have to start to be great.-Zig Ziglar

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.