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Use the form below to send us a message. You may also call or email anytime.

Please note, our clinicians Margaret Renninger and Interns Alex Chapman and Tara Petrozelli have immediate 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.