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    Reach out today!

    If you’re ready to start your journey or just have a question to ask, please feel free to do so by filling out this form. You can also reach out to me via text, phone, and email.

    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.