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 Kansas & Missouri (913)-735-3348 | Oregon (541) 833-3059 | Colorado (970) 373-2475

[email protected] | (913)-735-3348
Appointment Request
  • (913)-735-3348
    [email protected]

    • Appointment Request

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    “Real change, enduring change, happens one step at a time.”
    – Ruth Bader Ginsburg

    First Time Appointments

    Is this your first time scheduling an Appointment with us? Please complete the form below. We will reach out to you soon.

    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.

     

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