Session Request

Please complete the form below and I will respond as soon as I can. Or give me a call at 540-272-1913 and leave a detailed message. Thank you!

(Appointment requests beyond these hours may be available and will be considered on a case-by-case basis)


Monday:      9:00am – 9:00pm
Tuesday:     9:00am – 9:00pm
Wednesday:     9:00am – 9:00pm
Friday:          9:00am – 9:00pm
Saturday:      10:00am – 7:00pm
Sunday:       10:00am – 7:00pm

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.