Appointment Request

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Schedule an Appointment

Please complete the form below to schedule an appointment.
We will try our best to accommodate your request and will be in touch ASAP.

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.
Message frequency varies and may include appointment reminders, service or order information, promotional messages, etc. Message and data rates may apply. Opt out at any time by replying 'stop' or 'unsubscribe'.

See our Privacy Policy for details on how we handle your information. We never share or sell your opt-in information.