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    Rates & Insurance to review rates before sending an appointment request

    Once you have reviewed the above, please complete the below form and you will be placed on Dr. Hamdan’s waitlist.

    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.