Consultation Request

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Schedule A Consultation

Please complete the form below or click one of the buttons below to schedule a consultation.We will try our best to accommodate your request and will be in touch ASAP. Please note, our clinician Margaret has immediate virtual availability. 

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.