[email protected] | (406) 541-2662

[email protected] | (406) 541-2662
Contact
  • (406) 541-2662
    [email protected]
    • banner image

    Client Forms

    Privacy Practices Disclosure 2022

    This is where clients who have gone through a phone intake can get forms for intake and payment.

    Patient Portal

    2237 S. 3rd St. W.

    Missoula, Montana 59801

    (406) 541-2662
    [email protected]

    By submitting this form via this web portal, you acknowledge and accept that 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.