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“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

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
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.
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