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3001 W. Hallandale Beach Blvd., Suite 302 Hallandale, FL 33009

5571 N. University Road, Suite 101 Coral Springs, Fl 33067

2 Rechov Sheshet Hayamim Knissa Gimmel, Apartment 19 Ramat Eshkol, Jerusalem

(954) 455-0388

058-455-0388

ptsdsolutionstherapy@gmail.com

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3001 W. Hallandale Beach Blvd., Suite 302
Hallandale, FL 33009

5571 N. University Road
Suite 101
Coral Springs, Fl 33067

2 Rechov Sheshet Hayamim Knissa Gimmel, Apartment 19 Ramat Eshkol, Jerusalem

ptsdsolutionstherapy@gmail.com
(954) 455-0388
058-455-0388

Visit our Sister Site: www.thehelpingplacefl.com

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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.