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Appointment Request

Please complete the form below to schedule an appointment. Appointments are 50 mins. in length.

I have day, late evening, and Saturday appointments. Please note that the office is closed on Fridays and Sundays.

I will try my best to accommodate your request and will be in touch ASAP.

Change is Constant, How we React is Dynamic. Change begins here.

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.

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