Make an Appointment: [email protected] | (612) 807-1950

[email protected] | (612) 807-1950
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Maple Grove, MN 55311
[email protected] | (612) 807-1950

  • (612) 807-1950
    [email protected]
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    Client Forms

    This section is only needed AFTER a formal evaluation has been scheduled with me. I will send you information on how to login to your account and the below link will lead you to all of the intake forms you will need to fill out prior to the evaluation.

    If you have more general questions you can call or email me to see if a formal evaluation is a good fit for you and your child.

    https://therapyzen.com/familycenteredot/portal/login

    Contact


    Maple Grove, MN 55311

    (612) 807-1950
    [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.