Contact

Contact

Please complete the form below to schedule an appointment for a free 15 min consultation. We will respond to your request within 24-48 hours and will do our best to accommodate your needs. Feel free to call or email with any additional questions that you may have using the information below.

720 NY-17M #101D
Middletown, NY 10940

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.