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    Reach out to us today!

    Please use the form on this page to send a message. You may also call, or email anytime using the information below. You will need a referral from your primary care provider before getting a N-648 evaluation. Please note that you might be put on a waiting list. If you would like individual therapy please note that on this form. We will contact about scheduling you 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.