Appointment Request

Appointment Request

I offer a 20-minute free consultation. Please complete the form below to schedule an appointment. You may also call, or email me directly at 1 (888) 204-6041 / info@DrJohannaGomez.com. I will try my best to accommodate your request and be in touch within 24 hours.


Take The Next Step To A Healthier Life

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.