Appointment Request

banner image

Schedule An Appointment

Please use this form to send a message.  For all confidential information, please use my direct encrypted email address: rachelmatza@protonmail.com. 

You may call or email anytime using the information below.  To schedule a 15-minute complimentary consultation, please list a few possible times to speak, and I will confirm a mutually agreeable time.

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.