Aging & Elder Care

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Name *

Email *

Phone

Comment or Message *

Select which office/therapy method you would like assistance from:

Birmingham, AL (In-person)
Tuscaloosa, AL (In-person)
Online Therapy anywhere in Alabama

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.

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Aging & Elder Care

Offering in-person & online therapy options in Birmingham & Tuscaloosa, as well as online therapy options across Alabama.