Appointment Request

Appointment Request

Please use the form on this page to send us an appointment request. Please allow up to 24 hours for a response. You can also call our office at 954-378-5381 for Broward or 561-223-1066 for Palm Beach.

"Embracing our vulnerabilities is risky but not nearly as dangerous as giving up on love and belonging and joy"

―Ian Morgan Cron.

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?