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    Contact Form

    For general inquiries only – not monitored for emergencies.

    Please do not include confidential or personal health information.
    Messages will be responded to during regular business hours on weekdays.

    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.