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.

For the health, safety, and well-being of our clients & providers, we have suspended all in-person appointments. In the meantime, all current and future appointments are available through secure video or on the phone.
We look forward to continuing to provide excellent care and service to our clients during this challenging time