Appointment Request Please complete the form below to schedule an appointment with me. You may also call (512) 333-4170 for a free initial phone consultation. Name* Email* Phone Date [datetime datetime-781 date-format:mm/dd/yy time-format:HH:mm] Your Message Please leave this field empty. Yes, I want to submit this form 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.
