Contact Us

For appointment requests or other service requests, contact us with the form below and we will get back to you within 48 hours on regular business days.

Office Hours:
Monday–Thursday: 9am–8pm
Friday: 11am–4pm

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How can we help you today? Give us a short summary of what's on your mind.

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This form is intended only for scheduling inquiries and general communication. Please do not include sensitive personal health information in your appointment request. Submission of this form does not establish a provider–patient relationship, nor does it make you a patient of Brightway Healthcare LLC. If you choose to include sensitive health details, you do so voluntarily and at your own discretion. Such information is not considered Protected Health Information (PHI) under HIPAA until you are formally accepted as a patient of the practice.

I have read and agree to Brightway Healthcare LLC's Privacy Policy.

In order for the appointment to be optimal, please have your prior records and any other relevant information available prior to the appointment.

Administrative Letters & Care Conference Meetings:

Please note, we strive to help you in the best possible way, but It can be very time consuming to the provider and staff to process client’s requests that includes prior authorization paperwork and related phone calls. It is the responsibility of the client to provide their insurance information and to handle phone calls and paperwork related to their care plan in a timely manner before the visit and as needed. This pertains to any given letter, or a form needed for a third party. For any client prescribed a controlled substance, will follow federal reporting mandates, in the prescription drug monitoring program. If you are new to the state, time needs to be taken to gather history and data to optimize the client’s care plan. Please allow at least 14 days for such requests. Thank you for understanding.

Extra Paperwork requests:
This includes paperwork for employers, other type requests. $50.00 per request that is under 30 minutes of time. If there are extensive paperwork requests, cost is $100.00 per request. Most requests, if given proper notice, take less than 30 minutes. All and any requests must be given a minimum of one week notice for any paperwork that needs to be completed.