Book a free 15-minute consultation: 919-300-6717

freshbreaththerapypllc@gmail.com | 919-300-6717
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Client Forms

If you are new, please feel free to fill out these intake forms before our first session. 

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

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919-300-6717
freshbreaththerapypllc@gmail.com

Offering online services in Holly Springs, North Carolina

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.