Why Bright Light?
Scheduling:  847-616-2000 Fax: 847-616-9000

Request an Appointment

 

Not able to send us your order?

Just fill out the form below and we will reach out to you very soon to schedule!

    Appointment Request Form 

 

Do you have your provider's order handy? 

If you can upload it below, that’s the easiest way for us to get you scheduled.

Just fill out the form, snap a photo of your order, and we’ll take care of the rest.

We’ll be in touch soon to set up your appointment!

 

Upload Your Medical Order

Securely upload your prescription or medical order documents

 

Click to select files or drag and drop

Upload your prescription or medical order documents

📎 PDF, PNG, JPG, HEIC • Max 3.5MB per file