Terms of Use

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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. This field is required.
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Communication with an alternative / functional medicine provider does not by itself create a client-therapist relationship, a client-consultant relationship, nor constitute the provision or receipt of our services. Any communication with our alternative / functional medicine Services provider should be considered informational only and should not be relied or acted upon until a formal client-therapist relationship is established pursuant to a written agreement. Additionally, information sent by email is not secure and may be viewed by others during transmission. Therefore, messages containing confidential information should not be sent. Neither should time-sensitive information be sent via email.