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    Reach Out Today!

    Please use the form on this page to send a message or contact our office using the information below. 

    While our office will contact you as soon as possible, this form is not intended to request contact if you are experiencing a crisis or emergency. Please call 911 if you require immediate assistance. 

    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.