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    Secure-Encrypted Video Sessions

    Please complete the form below to request an appointment.

    Katherine offers appointments on Monday (2:00pm – 5:00pm); Tuesday (9:00am – 12:00pm); and Thursday (2:00pm – 5:00pm).

    Corrick offers appointments on Monday (9:00am – 12:00pm); Tuesday (2:00pm – 5:00pm); Thursday (9:00am – 12:00pm); and Friday (9:00am – 4:00pm)

    Please be cautious with the information you provide – the form is not encrypted.

    We look forward to meeting you!

    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.