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  • Appointment Request

    Request Appointment

    Please complete the form below to schedule an appointment.

    "The surest way to lose your self-worth is by trying to find it through the eyes of others."

    - Becca Lee

    By submitting this form via this web portal, you acknowledge and accept that 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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