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2631 Bulverde Road, Suite 108 Bulverde, TX 78163

(210) 496-7373

johnbeachphd@gmail.com

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  2631 Bulverde Road, Suite 108
Bulverde, TX 78163

johnbeachphd@gmail.com
(210) 496-7373
 

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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.