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  • Appointment Request

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    Schedule An Appointment

    Please complete the form below to schedule an appointment. We try our best to respond to your request ASAP.

    *Please be sure to check your junk folder if you don’t hear from us.*

    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.