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In the comments section below please include:

1.  What concerns bring you to therapy at this time?

2.  Your insurance company (if applicable).


You may also call, text or email anytime using the information below.

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.