Appointment Request

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If you’re ready to book an appointment, you can fill this contact form with your availability preferences. We can generally get back to you within 2 business days to discuss your needs and answer any questions you may have.

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.