Appointment Request

Appointment Request

Thank you for your interest in my services. Unfortunately at this time I cannot accommodate new appointments. I do not currently keep a waitlist. This page will be updated when a waitlist request is available.


Reflect /Grow / Thrive

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.