Request Appointment

Use the form on this page to send a request to Quantum Energy Healers for a patient-driven healthcare consultation. Someone will respond to you shortly to finalize the date and time of your appointment.

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.