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6800 North 79th Street Suite 207 Niwot, CO 80503

(720) 565-3388

pattiashley@icloud.com

 

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6800 North 79th Street Suite 207
Niwot, CO 80503

pattiashley@icloud.com
(720) 565-3388

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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.