Appointment Request

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Schedule An Appointment

Please call or text 516-532-9391 to schedule a consultation, or complete the form below to have to someone contact you as soon as possible.

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.