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Reach out today!

We want to help you get your mental health needs met

Please use this form to reach out to our Intake Coordinator, who can help set up first-time appointments or answer any questions.
You may call or email anytime using the information below.

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.