(570) 620-4311

info@poconocounseling.com

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"Imperfections are not inadequacies; they are reminders that we're all in this together"- Brene Brown
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.


105 Terrace Drive Suite 102
PO Box 288
Stroudsburg, PA 18360

info@poconocounseling.com
(570) 620-4311
Fax: (570) 620-4332

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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.

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