Make an Appointment: tom_gozinske@hotmail.com | 608-604-4510

tom_gozinske@hotmail.com | 608-604-4510
  • 608-604-4510

    tom_gozinske@hotmail.com

    • Appointment Request

    Please complete the form below to schedule an appointment.
    I will try my best to accommodate your request and will be in touch ASAP.

    “Walking with you through your valleys to help you emerge victoriously, renewed by God”
    By submitting this form via this web portal, you acknowledge and accept that 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.

    746 Wisconsin 133
    Muscoda, WI 53573

    608-604-4510
    tom_gozinske@hotmail.com

    By submitting this form via this web portal, you acknowledge and accept that 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.