Patient Forms/Appointment Request

To schedule an appointment please fill out one of the forms below and follow the instructions on the form to send in. If you do not have the ability to fill these forms and send in, please call the office to provide the information requested.

Please call to verify that we have received the forms.

Adult Intake Form

Child Intake Form

Patient Information Sheet
(512) 291-6086

Send a Message

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.