Make an Appointment: | (407) 834-0942

Appointment Request

Please complete the form below to schedule an appointment.
I will try my best to accommodate your request and will be in touch ASAP.

Saturday Appointments Available Upon Request
Cost: $165 (no insurance accepted)
Payment is non-refundable and is required at the time the appointment is made

Difficult Roads Often Lead to Beautiful Destinations

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.

Need Help Finding the Office?