Offering Only Virtual Services, in English and Spanish, throughout CT, GA, FL, and SC

[email protected] | 203-539-1521
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[email protected] | 203-539-1521

  • 203-539-1521
    [email protected]
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    Client Forms

    Once we schedule the first session, you will receive an invitation to fill out the forms online via our secure client portal.

    Contact

     

    203-539-1521
    [email protected]

    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.