Contact Us Home » Contact Us “I Am Here to Help You Dig Out, and Start Feeling Better & Happier.” Please use the form on this page to send us a message. You may also call or email anytime using the information on the right. Contact Us First Name * Last Name * Email Phone * Message By submitting this form via this web portal, you acknowledge and accept that 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. * Agreement * Yes, I want to submit this form 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 Addiction Medical Solutions harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means. reCAPTCHA If you are human, leave this field blank. SUBMIT Δ (800) 576-0819 Mon - Fri: 8am to 5pm