Appointment Request

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Request An Appointment

Please complete the form below to request a complimentary 15 minuteconsult or a regular appointment. Please include your phone number and indicate a good time to call you back or if you prefer a phone call, texting or e-mail as a way of responding to your request.
I will usually be in touch within 24 hrs).

Please do not use this form for any emergency or crisis outreach. If you are experiencing a medical or psychiatric emergency, call 911, go to the nearest Emergency Room or call the San Diego Access and Crisis Line at 888-724-7240

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.