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Kali's Appointment Request

"Beyond our ideas of right-doing and wrong-doing, there is a field.  I'll meet you there."                                                                   - Rumi


Please complete the form below to request an Appointment with Kali. 
We will be in touch with you ASAP and 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.