Client Portal

admin@cmciowa.com | (515) 601-2890
Contact

Appointment Request

“Take the first step toward healing. We’d love to support you. Book your appointment easily online here.”
Client Portal

Please complete the form below to schedule an appointment.
I will try my best to accommodate your request and will be in touch ASAP.

There is no greater agony than bearing an untold story inside you.

- Maya Angelou -

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.

1370 NW 114th St Suite 100
Clive, IA 50325

(515) 601-2890
admin@cmciowa.com

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.