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253-214-3727

erin@eeramiatherapy.com

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2701 Sylvan Drive West University Place, WA 98466

253-214-3727

erin@eeramiatherapy.com

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2701 Sylvan Drive West
University Place, WA 98466

erin@eeramiatherapy.com
253-214-3727

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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.