Client Forms

All forms are completed within our electronic health record portal. Please contact us to schedule an appointment and we will send you a link to complete all forms prior to your scheduled appointment.

Client Portal

 

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591 Camino De La Reina Suite 802
San Diego, CA 92108

contactus@aplaceofgrowth.com
(858) 519-8002

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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.