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7451 Switzer Road Suite 120 Shawnee, KS 66203

(913) 787-5444

contact@pureperfectfaith.com

115 S Sycamore Street Gardner, KS 66030

7700 Shawnee Mission Parkway suite 14, 66202

913-481-2089



7451 Switzer Road Suite 120
Shawnee, KS 66203

115 S Sycamore Street
Gardner, KS 66030

contact@pureperfectfaith.com
(913) 787-5444

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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.