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  • Request intake information

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    Limited appointments available

    We hope to have openings for new clients in late September or early October. Please complete the form below if you are interested in scheduling when an appointment becomes available.

    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.