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Start Therapy at Flourish

Complete the form below and our intake team will follow up within one business day to help you get started.

Messages are kept private and reviewed only by our team. Please do not include sensitive clinical or medical information.

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. Your information is reviewed by our intake team and used only to help match you with care.